MED SOUTH ASSOCIATES PC 2 LLC


Address: 6572 River Park Dr, Suite 102, Riverdale, GA 30274-2214
Phone: 4049430205

MED SOUTH ASSOCIATES PC 2 LLC (NPI# 1710017413) 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) 1710017413
Entity Type Organization
Organization Name MED SOUTH ASSOCIATES PC 2 LLC
Practice Address 6572 River Park Dr
Suite 102
Riverdale
GA 30274-2214
Mailing Address Po Box 468329
Atlanta
GA 31146-8329
Practice Telephone 4049430205
Mailing Telephone 4049430205
Enumeration Date 2007-03-06
Last Update Date 2020-08-22
Authorized Official Name ALICIA HOLDEN (LEAD)
Authorized Official Telephone 4049430205
Authorized Official Credential ACCOUNTING
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RG0300X Internal Medicine
Specialization: Geriatric Medicine
Allopathic & Osteopathic Physicians

Office Location

Street Address 6572 RIVER PARK DR
SUITE 102
City RIVERDALE
State GA
Zip Code 30274-2214

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417921552 Carlette Graham Specialist 6572 River Park Dr, Ste 101, Riverdale, GA 30274-2550 2006-02-15
1093180473 Julia A Belcher Licensed Practical Nurse 6572 River Park Dr, Ste 101, Riverdale, GA 30274-2214 2015-12-10
1518024694 Kaia Lowe Physician Assistant 6572 River Park Dr, #101, Riverdale, GA 30274-2214 2007-01-02
1457425480 Andre' Reshaun Holmes Specialist 6572 River Park Dr, Riverdale, GA 30274-2214 2006-11-20
1770592776 Sleepmed Inc. Clinic/Center 6572 River Park Dr, Suite 201, Riverdale, GA 30274-2214 2006-08-07
1720009244 Pulmonary Medicine Associates Specialist 6572 River Park Dr, Ste 101, Riverdale, GA 30274-2214 2006-07-21
1265406375 Praveen Rastogi Internal Medicine 6572 River Park Dr, Ste 101, Riverdale, GA 30274-2550 2006-02-15

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1245862507 Todd L. Reed Chiropractor 83 Upper Riverdale Rd, Riverdale, GA 30274 2020-02-05
1487135992 Freddie L Sallette IIi Technician, Pathology 385 Brookview Dr, Riverdale, GA 30274 2018-08-22
1366933210 Dawn A. Paul Nurse Practitioner 238 Professional Ct Ste A, Riverdale, GA 30274 2018-05-27
1851894588 Absolute Health Family & Urgent Care Clinic Clinic/Center 7574 Ga 85, Riverdale, GA 30274 2018-03-08
1366972127 Jamillah Ingram Physical Therapy Assistant 315 Upper Riverdale Rd., Riverdale, GA 30274 2017-06-14
1114456514 Grace L Kelson Licensed Practical Nurse 9142 Clubhouse Dr, Riverdale, GA 30274 2017-06-08
1790167799 Cristian Carbuccia Internal Medicine 33 Upper Riverdale Rd Sw Ste 10, Riverdale, GA 30274 2015-06-25
1265857692 Right Choice Enterprises LLC Technician 638 Sterling Ct, Riverdale, GA 30274 2014-02-21
1942571625 Lowes Guardian Angel LLC Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 7056 Eunice Dr., Riverdale, GA 30274 2012-01-26
1508134156 Education System Management, Inc Social Worker 125 Highway 138, Riverdale, GA 30274 2011-12-12
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Taxonomy Information

Taxonomy Code 207RG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Geriatric Medicine

Taxonomy Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
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
1861489163 Yelena Pertsovsky Internal Medicine 5901 Palisade Ave, Riverdale, NY 10471-1205 2005-10-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1710545553 Palcare Health LLC Internal Medicine 1315 Merry Ln Ne, Atlanta, GA 30329-3903 2019-06-05
1518334200 Miguel E Stubbs M D P C Internal Medicine 230 Beaver Falls Pl Sw, Atlanta, GA 30331-8326 2015-08-28
1497155469 Golden Geriatrics LLC Internal Medicine 632 Vinings Estates Dr Se, Mableton, GA 30126-5991 2014-08-27
1821361577 Senior Care Office, LLC Internal Medicine 2020 Beverly Road, Gainesville, GA 30501-2037 2012-02-10
1609162965 Linduc PC Internal Medicine 2680 Lawrenceville Hwy Ste 202, Decatur, GA 30033-2526 2011-06-24
1447574918 David L. Anders, M.d., P.C. Internal Medicine 101 Mcwilliams Dr, Peachtree City, GA 30269-6948 2010-03-26
1639319502 New Snellville Clinic Internal Medicine 2331 Henry Clower Blvd, Suite A, Snellville, GA 30078-3155 2009-03-04
1952557977 Diego Hernando Remolina Internal Medicine 49 Jesse Hill Jr Dr Se Rm 471, Atlanta, GA 30303 2008-08-11
1912165192 Aristotle Cochon Internal Medicine 955 Lynn Dr, Waycross, GA 31503-8590 2008-05-25
1972792265 Perimeter Medical Associates,p.c. Internal Medicine 3775 N. Druid Hills Rd, Decatur, GA 30033 2007-10-23
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Competitor

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City RIVERDALE
Zip Code 30274

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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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