Ofelia C Tablan, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

026398 Issued in GA

Practice address

470 Pleasant Hill Rd NW
Lilburn, GA 30047-2734

Phone

(678) 786-1118

Fax

(770) 558-1324

NPI assigned

May 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17167/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Stone Mountain Skin Health Center

  • Primary Care Clinic/Center
  • Norcross, GA
  • NPI 1770995946
  NPD (past)
• Wellstreet of Georgia PC

  dba Piedmont Urgent Care

  • Urgent Care Clinic/Center
  • Newnan, GA
  • NPI 1235411547
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512604800000",
    "number": "1093773509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 PLEASANT HILL ROAD NW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "30047",
            "telephone_number": "678-786-1118",
            "fax_number": "770-558-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 PLEASANT HILL RD NW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472734",
            "telephone_number": "678-786-1118",
            "fax_number": "770-558-1324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABLAN",
        "first_name": "OFELIA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2017-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "026398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Summers
• Sun Kim DMD LLC
• Surecare Transit LLC
• Lauren Marie Swanson
• Sycamore Wellness Group, LLC
• Brian Taglieri, PT
• Tailored in-Home Care and Assistance
• Lisa Monette Tait, LPC
• Gabrielle Talley, LPC
• Min Jie Tan, MD

• Internal Medicine Physician in Lilburn, GA
• Providers in Lilburn, 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 Dec 7, 2017; 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.