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 provides Family Medicine Physician services 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 Not confirmed with CMS for 16 years — call before visiting
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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