NPIMap

Organization Active NPI

Stone Mountain Family Medicine PC

  • Family Medicine Physician
  • Stone Mountain, GA
National Provider Identifier
1194283689
Registry record updated Mar 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
STONE MOUNTAIN FAMILY MEDICINE PC
Practice address
1183 S Hairston Rd Ste a
Stone Mountain, GA 30088-2796
Phone
(404) 296-8858
Fax
(404) 296-5599
NPI assigned
Mar 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2019

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

Authorized official

Name
Rhoit M Desai, MD
Title
Provider/Owner
Phone
(404) 296-8858

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1183 S Hairston Rd Ste a
Stone Mountain, GA 30088-2796

Mailing address

1183 S Hairston Rd Ste a
Stone Mountain, GA 30088-2796
Phone (404) 296-8858

National Provider Directory

National Provider Directory

Locations

1183 S Hairston Rd
Ste A
Stone Mtn, GA 30088
Phone (404) 296-8858

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551657600000",
    "number": "1194283689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1183 S HAIRSTON RD STE A",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300882796",
            "telephone_number": "404-296-8858",
            "fax_number": "404-296-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1183 S HAIRSTON RD STE A",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300882796",
            "telephone_number": "404-296-8858",
            "fax_number": "404-296-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE MOUNTAIN FAMILY MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-03-04",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "RHOIT",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "404-296-8858",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.