East Atlanta Infectious Disease LLC

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

License

062557 Issued in GA

Legal business name

EAST ATLANTA INFECTIOUS DISEASE LLC

Practice address

7143 Turner Lake Rd NW
Covington, GA 30014-2066

Phone

(770) 787-4504

Fax

(770) 788-9875

NPI assigned

May 7, 2010

Organization subpart

Yes

Parent organization

NOAs reported in NPPES

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

Authorized official

Name

William Love

Title

Director, Newton Medical Group

Phone

(770) 385-4183

Specialties & licenses 1

Addresses

Other names 1

• NEWTON HEALTH SYSTEM INC SOLE MBR Other name

Part of

Newton Healthcare Systems

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Piedmont Newton Hospital, Inc.

  • General Acute Care Hospital
  • Covington, GA
  • NPI 1760498588

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1174841696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5126 HOSPITAL DR NE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142566",
            "telephone_number": "770-385-4183",
            "fax_number": "770-385-4281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7143 TURNER LAKE RD NW",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300142066",
            "telephone_number": "770-787-4504",
            "fax_number": "770-788-9875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST ATLANTA INFECTIOUS DISEASE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NO",
        "enumeration_date": "2010-05-07",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "DIRECTOR, NEWTON MEDICAL GROUP",
        "authorized_official_telephone_number": "770-385-4183"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "GA",
            "license": "062557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEWTON HEALTH SYSTEM INC SOLE MBR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Infectious Disease Physician in Covington, GA
• Providers in Covington, GA by specialty
• Infectious Disease Physician in Georgia

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