Organization Active NPI

Johns Creek Internal Medicine PC

  • Primary Care Clinic/Center
  • Suwanee, GA
National Provider Identifier
1144486283
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
JOHNS CREEK INTERNAL MEDICINE PC
Practice address
4035 Johns Creek Pkwy
Suite C
Suwanee, GA 30024-1253
Phone
(770) 476-2733
Fax
(770) 476-1929
NPI assigned
Jul 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
Dr. David Maartin Reingold, M.D.NPI 1598779779
Title
President
Phone
(770) 476-2733

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

4035 Johns Creek Pkwy
Suite C
Suwanee, GA 30024-1253

Mailing address

4035 Johns Creek Pkwy
Suite C
Suwanee, GA 30024-1253
Phone (770) 476-2733

National Provider Directory

National Provider Directory

Locations

4035 Johns Creek Pkwy
Ste C
Suwanee, GA 30024
Phone (770) 476-2733

Practitioners & affiliated clinicians

Practitioners 1

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": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1144486283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4035 JOHNS CREEK PKWY",
            "address_2": "SUITE C",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241253",
            "telephone_number": "770-476-2733",
            "fax_number": "770-476-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 JOHNS CREEK PKWY",
            "address_2": "SUITE C",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241253",
            "telephone_number": "770-476-2733",
            "fax_number": "770-476-1929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNS CREEK INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "REINGOLD",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MAARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-476-2733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.