Organization Active NPI

East Point Physicians Group, PC

  • Medical Specialty Clinic/Center
  • East Point, GA
National Provider Identifier
1033493820
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
EAST POINT PHYSICIANS GROUP, PC
Practice address
1203 Cleveland Ave
Suite 1-C
East Point, GA 30344-3417
Phone
(404) 855-2730
NPI assigned
Sep 28, 2011
Last updated
Sep 28, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Authorized official

Name
Dr. Adetokunboh Monsureen Adebayo, M.D.NPI 1689645699
Title
Owner/Ceo
Phone
(404) 855-2730

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X NU Primary

Addresses

Primary practice location

1203 Cleveland Ave
Suite 1-C
East Point, GA 30344-3417

Mailing address

1203 Cleveland Ave
Suite 1-C
East Point, GA 30344-3417
Phone (404) 855-2730

National Provider Directory

National Provider Directory

Locations

1203 Cleveland Ave
#1C
East Point, GA 30344
Phone (404) 855-2730

1203 Cleveland Ave
Ste 1C
East Point, GA 30344
Phone (404) 855-2730

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1317168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317168000000",
    "number": "1033493820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 CLEVELAND AVE",
            "address_2": "SUITE 1-C",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443417",
            "telephone_number": "404-855-2730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 CLEVELAND AVE",
            "address_2": "SUITE 1-C",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443417",
            "telephone_number": "404-855-2730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST POINT PHYSICIANS GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-28",
        "last_updated": "2011-09-28",
        "status": "A",
        "authorized_official_last_name": "ADEBAYO",
        "authorized_official_first_name": "ADETOKUNBOH",
        "authorized_official_middle_name": "MONSUREEN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "404-855-2730",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Point, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2011; 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.