NPIMap

Organization Active NPI

Intown Infectious Diseases, LLC

  • Infectious Disease Physician
  • Atlanta, GA
National Provider Identifier
1184993578
Registry record updated Dec 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
44010 Issued in GA
Legal business name
INTOWN INFECTIOUS DISEASES, LLC
Practice address
619 Rankin St NE
Atlanta, GA 30308-2920
Phone
(404) 805-6062
NPI assigned
Dec 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2011

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

Authorized official

Name
Dr. Sophie A Lukashok, M.D.
Title
Owner
Phone
(404) 805-6062

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RI0200X 44010 GA Primary

Addresses

Primary practice location

619 Rankin St NE
Atlanta, GA 30308-2920

Mailing address

1961 Oak Grove Rd NE
Atlanta, GA 30345-3840
Phone (404) 805-6062

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323820800000",
    "number": "1184993578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1961 OAK GROVE RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453840",
            "telephone_number": "404-805-6062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 RANKIN ST NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082920",
            "telephone_number": "404-805-6062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTOWN INFECTIOUS DISEASES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-14",
        "last_updated": "2011-12-14",
        "status": "A",
        "authorized_official_last_name": "LUKASHOK",
        "authorized_official_first_name": "SOPHIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-805-6062",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "GA",
            "license": "44010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2011; 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.