Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Polaris Medical Group LLC

Organization Specialist · NPI 1366583577

Polaris Medical Group LLC is a Specialist in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1136 Cleveland Ave
Atlanta, GA 30344
Phone: (404) 766-8110
Fax: (404) 766-8106
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 052218 (GA)
Specialist Taxonomy 174400000X

Record details

NPI number1366583577
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lisa Perry-Gilkes — Cfo · (404) 766-8110
NPI enumeratedFebruary 9, 2007
Last updated in NPPESApril 3, 2009
Mailing address1136 Cleveland Ave, Atlanta, GA 30344

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