Mdvip Medical Group Ga-Atl

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MDVIP MEDICAL GROUP GA-ATL

Practice address

1800 Howell Mill Rd NW Ste 525
Atlanta, GA 30318-2538

Phone

(404) 537-8081

Fax

(404) 367-3085

NPI assigned

May 25, 2017

Last updated

Mar 21, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

MDVIP MEDICAL GROUP HOLDINGS, LLCAs reported in NPPES

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

Authorized official

Name

Andrea Klemes, DO

Title

Chief Medical Officer

Phone

(561) 982-4300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Part of

Mdvip Medical Group Holdings LLC

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kirti A Chavan, MD

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1417259243
  Medicare reassignment Care Compare group NPD
• Karl Dannehl, M.D.

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1356401954
  Medicare reassignment Care Compare group NPD
• Adrian Cedric Douglass, M.D.

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1245393396
  Medicare reassignment Care Compare group NPD
• Steven Sheppard Dunlevie, M.D.

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1932293719
  Medicare reassignment Care Compare group NPD
• Meenakshi Hema Kakarala, MD

  • Internal Medicine Physician
  • Marietta, GA
  • NPI 1033100797
  Medicare reassignment Care Compare group NPD
• Brooks Smith Lide III, M.D.

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1083777056
  Medicare reassignment Care Compare group NPD
• Raphael Lopez, MD

  • Internal Medicine Physician
  • Alpharetta, GA
  • NPI 1932177177
  Medicare reassignment Care Compare group NPD
• Andrey Popykin, MD

  • Internal Medicine Physician
  • Marietta, GA
  • NPI 1952373615
  Medicare reassignment Care Compare group NPD
• Crystal Young-Wilson, D.O.

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1588743165
  Medicare reassignment Care Compare group NPD
• Wyman Sloan, M.D.

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1639264922
  Medicare reassignment NPD

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1154859817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 HOWELL MILL RD NW STE 525",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303183188",
            "telephone_number": "404-537-8081",
            "fax_number": "404-367-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HOWELL MILL RD NW STE 525",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182538",
            "telephone_number": "404-537-8081",
            "fax_number": "404-367-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MDVIP MEDICAL GROUP GA-ATL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MDVIP MEDICAL GROUP HOLDINGS, LLC",
        "enumeration_date": "2017-05-25",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "KLEMES",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "561-982-4300",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lillian Meacham, MD
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• Patricia Meadors, MD
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• Internal Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.