NPIMap

Organization Active NPI

Physician'S Group of Georgia

  • Physician Assistant
  • Alpharetta, GA
National Provider Identifier
1134522774
Registry record updated Sep 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
6242 Issued in GA
Legal business name
PHYSICIAN'S GROUP OF GEORGIA
Practice address
5755 N Point Pkwy
Suite 53
Alpharetta, GA 30022-1142
Phone
(404) 382-9608
NPI assigned
Sep 26, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2014

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

Authorized official

Name
Jesse Anderson
Title
Director of Operations
Phone
(404) 382-9608

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 363A00000X 6242 GA Primary

Addresses

Primary practice location

5755 N Point Pkwy
Suite 53
Alpharetta, GA 30022-1142

Mailing address

5755 N Point Pkwy
Suite 53
Alpharetta, GA 30022-1142

National Provider Directory

National Provider Directory
Tax ID family
Physician'S Group of Georgia2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411689600000",
    "number": "1134522774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5755 N POINT PKWY",
            "address_2": "SUITE 53",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300221142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 N POINT PKWY",
            "address_2": "SUITE 53",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300221142",
            "telephone_number": "404-382-9608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN'S GROUP OF GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-26",
        "last_updated": "2014-09-26",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "JESSE",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "404-382-9608"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "6242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; 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.