Organization Active NPI

Personalized Healthcare, LLC

  • Internal Medicine Physician
  • Sandy Springs, GA
National Provider Identifier
1063641868
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
043418 Issued in GA
Legal business name
PERSONALIZED HEALTHCARE, LLC
Practice address
6115 Peachtree Dunwoody Rd Ste 200
Sandy Springs, GA 30328-5684
Phone
(404) 303-8889
Fax
(404) 303-8887
NPI assigned
Jul 14, 2009
Last updated
Jul 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Dr. Caroline M Abruzese, MDNPI 1255328720
Title
Owner
Phone
(404) 303-8889

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
Internal Medicine Physician 207R00000X 043418 GA Primary

Addresses

Primary practice location

6115 Peachtree Dunwoody Rd Ste 200
Sandy Springs, GA 30328-5684

Mailing address

6115 Peachtree Dunwoody Rd Ste 160
Sandy Springs, GA 30328-5546
Phone (404) 843-3636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091207000518 GA Part B Supplier - Clinic/Group Practice 5395884209 Receives reassigned benefits from 1 practitioner
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Locations

6115 Peachtree Dunwoody Rd
Ste 160
Sandy Springs, GA 30328

800 Mount Vernon Hwy NE
Ste 160
Sandy Springs, GA 30328
Phone (516) 996-3225

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1063641868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6115 PEACHTREE DUNWOODY RD STE 160",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303285546",
            "telephone_number": "404-843-3636",
            "fax_number": "404-891-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6115 PEACHTREE DUNWOODY RD STE 200",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303285684",
            "telephone_number": "404-303-8889",
            "fax_number": "404-303-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONALIZED HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-14",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "ABRUZESE",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-303-8889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "043418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.