Healthwise Internal Medicine

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

025749 Issued in GA

Legal business name

HEALTHWISE INTERNAL MEDICINE

Practice address

140 Lacy St NW
Suite a
Marietta, GA 30060-1154

Phone

(770) 422-1985

Fax

(770) 422-2814

NPI assigned

Oct 25, 2007

Organization subpart

No

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

Authorized official

Name

James L Fisher, MDNPI 1104981232

Title

Owner

Phone

(770) 422-1985

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James Lee Fisher, MD

  • Internal Medicine Physician
  • Marietta, GA
  • NPI 1104981232
  Medicare reassignment Authorized official
• Andre Christopher Lewis, MD

  • Internal Medicine Physician
  • Dublin, GA
  • NPI 1104990795
  NPD (past)

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194480000000",
    "number": "1033398169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 LACY ST NW",
            "address_2": "SUITE A",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601154",
            "telephone_number": "770-422-1985",
            "fax_number": "770-422-2814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 LACY ST NW",
            "address_2": "SUITE A",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601154",
            "telephone_number": "770-422-1985",
            "fax_number": "770-422-2814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHWISE INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2007-11-08",
        "status": "A",
        "authorized_official_last_name": "FISHER",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-422-1985",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "GA",
            "license": "025749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Legal Medicine in Marietta, GA
• Providers in Marietta, GA by specialty
• Legal Medicine in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.