Mariposa Medical Associates, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MARIPOSA MEDICAL ASSOCIATES, LLC

Practice address

767 Concord Rd SE
Smyrna, GA 30082-2625

Phone

(678) 305-1700

NPI assigned

Oct 13, 2020

Organization subpart

No

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

Authorized official

Name

Lachunna Bryant

Title

Manager

Phone

(770) 676-0831

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Faye Vargas Morris, M.D.

  • Internal Medicine Physician
  • Smyrna, GA
  • NPI 1194707398
  Medicare reassignment

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602547200000",
    "number": "1073111977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 CONCORD RD SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300822625",
            "telephone_number": "678-305-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 CONCORD RD SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300822625",
            "telephone_number": "678-305-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIPOSA MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-13",
        "last_updated": "2020-10-13",
        "certification_date": "2020-10-13",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "LACHUNNA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-676-0831"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1194707398",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Jarrett Manning, D.D.S., M.P.H.
• Scott Howard Marshall, DMD
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• Corinne E Martin, PT
• Kuwaiti Martin
• Latasha Lasseter Martin, PMHNP-BC, FNP-C

• Internal Medicine Physician in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2020; 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.