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

Individual provider Internal Medicine Physician · NPI 1063521979

Agbor Ndiparrey Egbewatt, MD is an Internal Medicine in Lawrenceville, Georgia. Qualified in 1991, 35 years ago. Practices with Northside Primary Care Professional Services, LLC, a 311-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
35
Licensed in
GA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

555 Old Norcross Rd Ste 130
Lawrenceville, GA 30045-8703
Phone: (770) 338-5070
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 038744 (GA)

Record details

NPI number1063521979
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 30, 2006
Last updated in NPPESJuly 8, 2007
Mailing address555 Old Norcross Road, Suite 130, Lawrenceville, GA 30045-8703

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice Northside Primary Care Professional Services,Llc — 311 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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