Individual provider Active NPI

Pojnicha Mekaroonkamol, M.D.

  • Internal Medicine Physician
  • Decatur, GA
National Provider Identifier
1013220342
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
71704 Issued in GA
Practice address
2124 Candler Road
Jencare Neighborhood Medical Center South Dekalb, LLC
Decatur, GA 30032-5500
Phone
(404) 836-0272
Fax
(404) 836-0289
NPI assigned
Jul 15, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 71704 GA Primary

Addresses

Primary practice location

2124 Candler Road
Jencare Neighborhood Medical Center South Dekalb, LLC
Decatur, GA 30032-5500

Mailing address

2124 Candler Road
Jencare Neighborhood Medical Center South Dekalb, LLC
Decatur, GA 30032-5500
Phone (404) 836-0272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
PMR Georgia Holding, LLC CurrentSince Apr 1, 2021 Accepting new patients

Locations

1325 Ralph David Abernathy Blvd SW
Atlanta, GA 30310
Phone (404) 419-0184

2124 Candler Rd
Decatur, GA 30032
Phone (404) 836-0272

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1279152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1013220342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 CANDLER ROAD",
            "address_2": "JENCARE NEIGHBORHOOD MEDICAL CENTER SOUTH DEKALB, LLC",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300325500",
            "telephone_number": "404-836-0272",
            "fax_number": "404-836-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 CANDLER ROAD",
            "address_2": "JENCARE NEIGHBORHOOD MEDICAL CENTER SOUTH DEKALB, LLC",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300325500",
            "telephone_number": "404-836-0272",
            "fax_number": "404-836-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEKAROONKAMOL",
        "first_name": "POJNICHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "71704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.