Organization Active NPI

Sisterlove Incorporated

  • Internal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1083351100
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SISTERLOVE INCORPORATED
Practice address
1237 Ralph David Abernathy Blvd SW
Atlanta, GA 30310-1731
Phone
(404) 505-7777
Fax
(404) 505-0003
NPI assigned
May 19, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Authorized official

Name
Ms. Kareen T Scott
Title
Operations Manager
Phone
(917) 549-1457

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

1237 Ralph David Abernathy Blvd SW
Atlanta, GA 30310-1731

Mailing address

PO Box 10558
Atlanta, GA 30310-0558
Phone (404) 254-4734

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260415000045 GA Part B Supplier - Clinic/Group Practice 9537635917 Receives reassigned benefits from 3 practitioners
Practice locations: Atlanta, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1092514Sisterlove Incorporated1237 Ralph David Abernathy Boulevard, Atlanta, GA 30310Certificate of waiverNov 25, 2026

National Provider Directory

National Provider Directory

Locations

1237 Ralph David Abernathy Blvd SW
Atlanta, GA 30310
Phone (404) 254-4734

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1652918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1083351100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10558",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303100558",
            "telephone_number": "404-254-4734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1237 RALPH DAVID ABERNATHY BLVD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101731",
            "telephone_number": "404-505-7777",
            "fax_number": "404-505-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SISTERLOVE INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-19",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "KAREEN",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "917-549-1457",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.