ATLANTA INTERNAL MEDICINE PC (NPI# 1639567472) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639567472 |
| Entity Type | Organization |
| Organization Name | ATLANTA INTERNAL MEDICINE PC |
| Practice Address |
2400 Pleasant Hill Rd Suite 300 Duluth GA 30096-4396 |
| Practice Telephone | 7708585252 |
| Mailing Telephone | 7708585252 |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2015-01-03 |
| Authorized Official Name | JO KIM (CEO) |
| Authorized Official Telephone | 7708585252 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
64660 | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 003109338A | 05 |
| Street Address |
2400 PLEASANT HILL RD SUITE 300 |
| City | DULUTH |
| State | GA |
| Zip Code | 30096-4396 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841364668 | Erin Elena Carton | Psychologist | 2400 Pleasant Hill Rd, Suite 165, Duluth, GA 30096 | 2006-11-20 |
| 1912284480 | Atlanta Central Medical Group, Inc. | Acupuncturist | 2400 Pleasant Hill Rd, 300, Duluth, GA 30096-4396 | 2011-11-10 |
| 1205092921 | Jo Myeong Kim | Internal Medicine | 2400 Pleasant Hill Rd, Suite 300, Duluth, GA 30096-4396 | 2008-08-01 |
| 1053478503 | Elizabeth Myrna Ellis | Psychologist | 2400 Pleasant Hill Rd, Suite 165, Duluth, GA 30096 | 2007-01-03 |
| 1003975418 | Andrea M Gamache | Psychologist | 2400 Pleasant Hill Rd, Suite 165, Duluth, GA 30096 | 2006-12-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
| 1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
| Find all providers in zip 30096 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568013969 | Careatc | Clinic/Center | 2250 Satellite Blvd Ste 14, Duluth, GA 30097-4906 | 2019-09-26 |
| 1659768703 | Duluth Medical Center | Clinic/Center | 8 N 2nd Ave E Ste 304, Duluth, MN 55802-2121 | 2015-04-15 |
| 1902440159 | Hp Internal Medicine | Clinic/Center | 3635 Peachtree Industrial Blvd Ste 550, Duluth, GA 30096-2806 | 2019-10-31 |
| 1023562444 | Careatc - Quiktrip Duluth | Clinic/Center | 2250 Satellite Blvd, Suite 140, Duluth, GA 30097-4906 | 2016-08-15 |
| 1568832277 | Lake Superior Community Health Center | Clinic/Center | 4325 Grand Ave, Duluth, MN 55807-2730 | 2015-10-07 |
| 1194088906 | Snuppy, Inc. | Clinic/Center | 3473 Satellite Blvd, Ste 108 N, Duluth, GA 30096-8690 | 2012-06-18 |
| 1497926083 | C.a.r.e. Pediatrics, LLC | Clinic/Center | 4855 River Green Pkwy, Suite 610, Duluth, GA 30096-8336 | 2008-03-21 |
| 1548446545 | Naturally Chiropractic, P.a. | Clinic/Center | 404 W Superior St, Suite 225c, Duluth, MN 55802-1559 | 2008-01-21 |
| 1902957152 | Maxa Internal Medicine Associates PC | Clinic/Center | 3505 Duluth Park Ln, Building 4, Ste 400, Duluth, GA 30096-3201 | 2007-01-15 |
| 1790861995 | Positive Impact Health Centers Inc | Clinic/Center | 3350 Breckinridge Blvd Ste 200, Duluth, GA 30096 | 2006-10-31 |
| Find all providers in DULUTH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.