COMPREHENSIVE INTERNAL MEDICINE AT NORTHSIDE


Address: 960 Johnson Ferry Rd Ne, Suite 543, Atlanta, GA 30342-1631
Phone: 6782059004

COMPREHENSIVE INTERNAL MEDICINE AT NORTHSIDE (NPI# 1679917835) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679917835
Entity Type Organization
Organization Name COMPREHENSIVE INTERNAL MEDICINE AT NORTHSIDE
Practice Address 960 Johnson Ferry Rd Ne
Suite 543
Atlanta
GA 30342-1631
Mailing Address 11975 Morris Rd
Suite 140
Alpharetta
GA 30005-4419
Practice Telephone 6782059004
Mailing Telephone 6782059004
Mailing Fax Number 6782059005
Enumeration Date 2013-04-18
Last Update Date 2013-05-03
Authorized Official Name DR. JACQUELINE T PEARSON (MD OWNER)
Authorized Official Telephone 6782059004
Authorized Official Credential MD, MS
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine Allopathic & Osteopathic Physicians

Office Location

Street Address 960 JOHNSON FERRY RD NE
SUITE 543
City ATLANTA
State GA
Zip Code 30342-1631

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033112198 Alan I Segal Audiologist 960 Johnson Ferry Rd Ne, Ste 200, Atlanta, GA 30342-1631 2005-05-23
1245628957 Maryann Reuben Specialist/Technologist, Other 960 Johnson Ferry Rd Ne, Suite 120, Atlanta, GA 30342 2015-01-05
1881957553 Allison M Sugg Physician Assistant 960 Johnson Ferry Rd Ne, Suite 200, Atlanta, GA 30342-1631 2012-06-19
1922392190 Center for Pediatric Wellness, P.C. Pediatrics 960 Johnson Ferry Rd Ne, Suite 315, Atlanta, GA 30342-1631 2011-06-06
1780910737 Faraa Mobini Physician Assistant 960 Johnson Ferry Rd Ne, Suite 200, Atlanta, GA 30342-1631 2009-10-27
1376779322 Village Podiatry Group, P.C. Podiatrist 960 Johnson Ferry Rd Ne, Suite 310, Atlanta, GA 30342-1631 2009-06-04
1255597282 Plastic Surgery Institute of Atlanta, P.C. Plastic Surgery 960 Johnson Ferry Rd Ne, Suite 245, Atlanta, GA 30342-1631 2008-07-30
1912165382 Mervyn B Forman Md, L.l.c Internal Medicine 960 Johnson Ferry Rd Ne, Ste 530, Atlanta, GA 30342-1631 2008-06-02
1275722811 Raymond V. Caputo, M.d.,p.c. Dermatology 960 Johnson Ferry Rd Ne, Suite 226, Atlanta, GA 30342-1631 2007-10-19
1942408984 Cindy L Hirsch Audiologist 960 Johnson Ferry Rd Ne, Suite 200, Atlanta, GA 30342-1631 2007-07-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144820614 Nia Charnice Griffin Nurse Practitioner 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 2020-10-26
1255945184 Jennifer Lynne Cole Behavior Technician 5555 Glenridge Con Suite 200, Atlanta, GA 30342 2020-09-08
1093336232 Van Tran Respiratory Therapist, Registered 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 2020-04-28
1356978340 Twyla Douglas Jackson I Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 2020-03-27
1760013411 Emily Hamm Dietitian, Registered 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 2020-01-31
1043855984 Mackenzie Tucker Wayda Registered Nurse 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 2019-11-14
1386288454 Tiauna Lashun Cochman Psychologist 1307 Glenridge Dr, Sandy Springs, GA 30342 2019-11-01
1164074399 Stephen J. White Hearing Instrument Specialist 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 2019-07-09
1144788142 Jaytyn LLC Internal Medicine 4600 Broswell Road, Atlanta, GA 30342 2019-03-08
1760954705 Mishele Walker LLC Counselor 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 2018-12-31
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902407752 Neighbormd of Atlanta LLC Internal Medicine 285 Boulevard Ne Ste 435&436, Atlanta, GA 30312-4205 2020-11-06
1053912907 Neighbormd of North Atlanta LLC Internal Medicine 1800 Peachtree St Nw Ste 730nw, Atlanta, GA 30309-2519 2020-11-06
1285235036 Neighbormd of South Atlanta LLC Internal Medicine 3885 Princeton Lakes Way Sw Ste 412, Atlanta, GA 30331-5599 2020-11-06
1679137657 Internal Medicine Consulting Services Internal Medicine 3365 Piedmont Rd Ne Ste 1400, Atlanta, GA 30305-1795 2019-04-25
1144788142 Jaytyn LLC Internal Medicine 4600 Broswell Road, Atlanta, GA 30342 2019-03-08
1326527144 Vergena Montgomery Clark Internal Medicine 3142 Esplanade Cir Sw, Atlanta, GA 30311-4221 2018-08-13
1790299071 Jay Leonard Lichtenfeld Internal Medicine 1711 E Clifton Rd Ne, Atlanta, GA 30307-1247 2017-11-26
1558872432 Qcpi-villagemd, PC Internal Medicine 3445 Peachtree Rd Ne Ste 1200, Atlanta, GA 30326-3251 2017-10-18
1033640115 Christopher Massad Internal Medicine 1364 Clifton Rd Ne Ste H-153, Atlanta, GA 30322-1059 2017-03-21
1114377025 Atlanta Clinical Research Centers LLC Internal Medicine 5673 Peachtree Dunwoody Rd Ste 440, Atlanta, GA 30342-1797 2016-06-21
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City ATLANTA
Zip Code 30342

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Dataset Information

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.

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