Nouveau Medic LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

NOUVEAU MEDIC LLC

Practice address

600 Phipps Blvd NE Apt 1304
Atlanta, GA 30326-3342

Phone

(678) 653-0045

Fax

(404) 393-3640

NPI assigned

Oct 5, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Joy S Edwards, NMD, APRN,MPHNPI 1710131941

Title

Clinical Manager

Phone

(678) 653-0045

Specialties & licenses 4

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Joy S Edwards, NMD PHD MPH APRN

  • Adult Health Nurse Practitioner
  • Atlanta, GA
  • NPI 1710131941
  NPD Authorized official

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643673600000",
    "number": "1104100395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PHIPPS BLVD NE APT 1304",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303263342",
            "telephone_number": "678-653-0045",
            "fax_number": "404-393-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PHIPPS BLVD NE APT 1304",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303263342",
            "telephone_number": "678-653-0045",
            "fax_number": "404-393-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOUVEAU MEDIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CLINICAL MANAGER",
        "authorized_official_telephone_number": "678-653-0045",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NMD, APRN,MPH"
    },
    "taxonomies": [
        {
            "code": "207QA0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adolescent Medicine",
            "state": "GA",
            "license": "051126",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "GA",
            "license": "051126",
            "primary": false
        },
        {
            "code": "207RI0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical & Laboratory Immunology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NA",
            "identifier": "NA",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Lauren Eichel Nourparvar, MSN, NP-C
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• Matthew James Novak, MD
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• Victoria Novak, PA-C
• Novamed Management Services LLC

• Multi-Specialty Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Multi-Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; 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.