Organization Active NPI

Comprehensive Internal Medicine

  • Internal Medicine Physician
  • Alpharetta, GA
National Provider Identifier
1154514339
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
COMPREHENSIVE INTERNAL MEDICINE
Practice address
3180 N Point Pkwy Ste 303
Alpharetta, GA 30005-4522
Phone
(678) 205-9004
Fax
(678) 205-9005
NPI assigned
Aug 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Authorized official

Name
Jacqueline Tucci Pearson, MD
Title
Owner
Phone
(678) 205-9004

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

3180 N Point Pkwy Ste 303
Alpharetta, GA 30005-4522

Mailing address

3180 N Point Pkwy Ste 303
Alpharetta, GA 30005-4522
Phone (678) 205-9004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060110000597 GA Part B Supplier - Clinic/Group Practice 1153344759 Receives reassigned benefits from 14 practitioners
Practice locations: Alpharetta, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1020820Comprehensive Internal Medicine of Alpharetta LLC3180 North Point Pkwy Ste 303, Alpharetta, GA 30005Certificate of waiverJan 5, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1154514339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 N POINT PKWY STE 303",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054522",
            "telephone_number": "678-205-9004",
            "fax_number": "678-205-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 N POINT PKWY STE 303",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054522",
            "telephone_number": "678-205-9004",
            "fax_number": "678-205-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "PEARSON",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "TUCCI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-205-9004",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "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 Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.