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

Prince Avenue Primary Care, LLC

Organization Family Medicine Physician · NPI 1386676211

Prince Avenue Primary Care, LLC is a Family Medicine Physician in Athens, Georgia. Licensed in Georgia. Registered with an NPI since 2006.

Licensed in
GA
In the registry since
2006
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

892 Prince Ave
Athens, GA 30606-2724
Phone: (706) 227-2027
Fax: (706) 227-2433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 015584 (GA)

Record details

NPI number1386676211
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Timothy Gibson — Ceo · (706) 227-2027
NPI enumeratedJuly 7, 2006
Last updated in NPPESDecember 28, 2009
Mailing address892 Prince Ave, Athens, GA 30606-2724

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