Alvin E Cheatham, M.D.
Individual provider Active NPI Internal Medicine Physician · Atlanta, GA
NPI 1053376772 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1053376772
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 022732 (GA)
- Practice address
- 1220 Caroline St NE Ste 230
Atlanta, GA 30307-2749 - Phone
- (678) 916-3610
- Fax
- (678) 916-3611
- NPI assigned
- Apr 18, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 022732 | GA | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 022732 | GA | Yes |
Addresses
Primary practice location
1220 Caroline St NE Ste 230
Atlanta, GA 30307-2749
Mailing address
PO Box 41007
Fayetteville, NC 28309-1007
Phone (800) 849-5609
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053376772 | Other | GA | NPI |
| 89128KT | Medicaid | NC | |
| 022732 | Other | GA | MEDICAL LICENSE |
Other providers in Atlanta, GA
- Shella Patel Chawda
- Saurabh Chawla
- Wesley Chay
- CHBW Medical &Rehab Clinic
- Ngoc Nhi T Che
- Shakeria Aramis Cheatham
- Viktor D Cheban
- Craig M Chebuhar
- Judith Whittimore Cheek
- Kathryn Elaine Cheek
All providers in Atlanta, GA · Internal Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.