Active NPI
Comprehensive Internal Medicine
- Internal Medicine Physician
- Alpharetta, GA
National Provider Identifier
1154514339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D1020820 | Comprehensive Internal Medicine of Alpharetta LLC | Certificate of waiver | Jan 5, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 15
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Alpharetta, GA
- NPI 1386619872
GA, Internal Medicine
-
- Internal Medicine Physician
- Alpharetta, GA
- NPI 1356344477
GA, Internal Medicine
-
- Internal Medicine Physician
- Alpharetta, GA
- NPI 1699853937
GA, Internal Medicine
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.