Physician360, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PHYSICIAN360, INC

Practice address

3379 Peachtree Rd NE Ste 700
Atlanta, GA 30326-1419

Phone

(360) 861-6199

Fax

(360) 282-0136

NPI assigned

Jul 21, 2023

Last updated

Aug 24, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth Halkos

Title

Ceo

Phone

(404) 493-0596

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 5

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.

• Kenneth Macleod Rice, M.D.

  • Emergency Medicine Physician
  • Cumming, GA
  • NPI 1831148063

  Multi-Specialty

  Medicare reassignment NPD
• Nitinkumar Doshi, MD

  • Internal Medicine Physician
  • Ashburn, VA
  • NPI 1154424372

  GA

  Medicare reassignment NPD
• Kevin Andrew Loudermilk, D.O.

  • Pulmonary Disease Physician
  • NPI 1477914265

  GA, Internal Medicine

  Medicare reassignment NPD
• Douglas R. Morgart, M.D.

  • Emergency Medicine Physician
  • Bolivia, NC
  • NPI 1023071248

  GA

  Medicare reassignment NPD
• Robert S Lapporte, MD

  • Emergency Medicine Physician
  • Southlake, TX
  • NPI 1952339418
  NPD

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787529600000",
    "number": "1194405373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3379 PEACHTREE RD NE STE 700",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261419",
            "telephone_number": "360-861-6199",
            "fax_number": "360-282-0136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3379 PEACHTREE RD NE STE 700",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261419",
            "telephone_number": "360-861-6199",
            "fax_number": "360-282-0136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN360, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-21",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A",
        "authorized_official_last_name": "HALKOS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-493-0596"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physicians Edge Medical Company Florida

• 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 Aug 24, 2026; 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.