Mali Khamissi Sobi (NPI# 1831622984, PAC ID# 6002249372) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1831622984 |
| PAC ID by PECOS | 6002249372 |
| Professional Enrollment ID | I20191130000050 |
| Full Name | Mali Khamissi Sobi |
| Organization Legal Name | PEACHTREE IMMEDIATE CARE FP, LLC |
| Address |
1834 Clairmont Rd Suite 100 Decatur GA 30033-3405 |
| Phone Number | 4046344443 |
| Gender | M |
| Medical School | EMORY UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2020 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 3274559323 |
| Number of Group Practice Members | 87 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 110010 | EMORY UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1834 Clairmont Rd, Suite 100, Decatur, GA 30033-3405 | 4046344443 | PEACHTREE IMMEDIATE CARE FP, LLC |
| Organization Legal Name | PEACHTREE IMMEDIATE CARE FP, LLC |
| Physicians | 88 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristin I Von Pelser-berensberg | Physician Assistant | Peachtree Immediate Care Fp, LLC | 9390 The Landing Dr, Douglasville, GA 30135-7180 |
| Sandeep Singh | Nurse Practitioner | Peachtree Immediate Care Fp, LLC | 1495 Lafayette Pkwy, Lagrange, GA 30241-2552 |
| Linda Leiser | Nurse Practitioner | Peachtree Immediate Care Fp, LLC | 13093 Brown Bridge Rd, Covington, GA 30016-9109 |
| Darren Dillard | Internal Medicine | Peachtree Immediate Care Fp, LLC | 4400 Peachtree Rd Ne, Brookhaven, GA 30319-2729 |
| Nisha Bhika | Nurse Practitioner | Peachtree Immediate Care Fp, LLC | 1220 Caroline St Ne, Suite A 230, Atlanta, GA 30307-2749 |
| Nida Rupani | Nurse Practitioner | Peachtree Immediate Care Fp, LLC | 1850 E W Connector, Austell, GA 30106-1246 |
| Jason C Davis | Physician Assistant | Peachtree Immediate Care Fp, LLC | 3991 Hwy 78 W, Snellville, GA 30039-3929 |
| Uwa Amoji | Nurse Practitioner | Peachtree Immediate Care Fp, LLC | 1275 Hwy 54 W, Suite 201, Fayetteville, GA 30214-4538 |
| Nneka L Okpara | Nurse Practitioner | Peachtree Immediate Care Fp, LLC | 371 Newnan Crossing Byp, Suite 103, Newnan, GA 30265-3888 |
| Noushin Vastani | Nurse Practitioner | Peachtree Immediate Care Fp, LLC | 2575 Peachtree Pkwy, Suite 100, Cumming, GA 30041-7562 |
| Street Address |
1834 CLAIRMONT RD SUITE 100 |
| City | DECATUR |
| State | GA |
| Zip | 30033-3405 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brandee M Mcdonald | Nurse Practitioner | Peachtree Immediate Care Fp, LLC | 1834 Clairmont Rd, Suite 100, Decatur, GA 30033-3405 |
| Mary Kathleen Humphries | Family Medicine | Peachtree Immediate Care Fp, LLC | 1834 Clairmont Rd, Suite 100, Decatur, GA 30033-3405 |
| Adebowale Akintayo | Family Medicine | 1834 Clairmont Rd, Suite 100, Decatur, GA 30033-3405 | |
| Tracy A Cartledge | Nurse Practitioner | Peachtree Immediate Care Fp, LLC | 1834 Clairmont Rd, Suite 100, Decatur, GA 30033-3405 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen J Ritz | Psychologist, Clinical | 2785 Lawrenceville Hwy, Suite 108, Decatur, GA 30033 | |
| Gretchen L Gibbs | Chiropractic | 2298 Lawrenceville Hwy, Decatur, GA 30033 | |
| Margaret J Brown | Clinical Social Worker | 315 W Ponce De Leon Ave, Suite 245, Decatur, GA 30033 | |
| Susan C Litton | Psychologist, Clinical | 2944 Blackwood Rd, Decatur, GA 30033-1012 | |
| Ramsey E Jackson | Geriatric Medicine | 1647 Colebrook Cir, Decatur, GA 30033-1424 | |
| Robert Woods | Physical Therapy | Decatur Hand and Physical Therapy Specialists Limited Partnership | 575 Dekalb Industial Way, Suite 103, Decatur, GA 30033-1756 |
| Harold Goodrum Jr. | Occupational Therapy | Decatur Hand and Physical Therapy Specialists Limited Partnership | 575 Dekalb Industial Way, Suite 103, Decatur, GA 30033-1756 |
| Dorie Sokol | Occupational Therapy | Decatur Hand and Physical Therapy Specialists Limited Partnership | 575 Dekalb Industial Way, Suite 103, Decatur, GA 30033-1756 |
| Bethani Walsh | Physical Therapy | Decatur Hand and Physical Therapy Specialists Limited Partnership | 575 Dekalb Industial Way, Suite 103, Decatur, GA 30033-1756 |
| Joseph T Elder | Psychologist, Clinical | 1439 Mclendon Dr, D, Decatur, GA 30033-1841 | |
| Find all physicians in zip 30033 | |||
| City | DECATUR |
| Zip Code | 30033 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | DECATUR + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Mali Khamissi Sobi.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.