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 provides Specialist services 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 Not confirmed with CMS for 17 years — call before visiting
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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