Segen Medical Group, P.C.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

45801 Issued in GA

Legal business name

SEGEN MEDICAL GROUP, P.C.

Practice address

3950 Austell Rd
Austell, GA 30106-1121

Phone

(770) 939-3301

Fax

(770) 939-3331

NPI assigned

Nov 3, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Yacob Ghebremeskel, M.D.

Title

Owner

Phone

(770) 939-3301

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216598400000",
    "number": "1013096882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 671077",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300660135",
            "telephone_number": "770-939-3301",
            "fax_number": "770-939-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 AUSTELL RD",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061121",
            "telephone_number": "770-939-3301",
            "fax_number": "770-939-3331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEGEN MEDICAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2008-07-21",
        "status": "A",
        "authorized_official_last_name": "GHEBREMESKEL",
        "authorized_official_first_name": "YACOB",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-939-3301",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "45801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000799719D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Quinton Scott
• Keaunna Jonise Seabrun, MFT
• Shari A Seaman, P.A.
• Shahana Sebourne-Francis
• Lina Seda
• Dara Seitler, NP
• Paul P Serdula, CRNA
• Lavonnia Session
• Sessions of Care LLC
• Saniya Setia, DDS

• Internal Medicine Physician in Austell, GA
• Providers in Austell, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.