Premier Internal Medicine of Alpharetta, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

79075 Issued in GA

Legal business name

PREMIER INTERNAL MEDICINE OF ALPHARETTA, PC

Practice address

3665 Old Milton Pkwy Ste 30
Alpharetta, GA 30005-2406

Phone

(919) 264-0720

NPI assigned

Aug 20, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Kira P. Colbert, MDNPI 1982996146

Title

Owner

Phone

(678) 369-6993

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 2

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

• Kira Peoples Colbert, MD

  • Internal Medicine Physician
  • Alpharetta, GA
  • NPI 1982996146

  GA

  Medicare reassignment Authorized official
• Catherine Sevier Nading, FNP

  • Family Nurse Practitioner
  • Dunwoody, GA
  • NPI 1174158448
  NPD (past)

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

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542499200000",
    "number": "1124508973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7778 MCGINNIS FERRY RD # 266",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241622",
            "telephone_number": "678-369-6993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3665 OLD MILTON PKWY STE 30",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300052406",
            "telephone_number": "919-264-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER INTERNAL MEDICINE OF ALPHARETTA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-11-18",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "KIRA",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-369-6993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "79075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Alpharetta, GA
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2018; 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.