Organization Active NPI

South Metro Primary Care

  • Internal Medicine Physician
  • Riverdale, GA
National Provider Identifier
1194913053
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SOUTH METRO PRIMARY CARE
Practice address
261 Medical Way
Suite a
Riverdale, GA 30274-2522
Phone
(770) 907-0070
Fax
(770) 996-5950
NPI assigned
Oct 4, 2007
Last updated
Oct 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Authorized official

Name
Linda Lofton
Title
RN/Office Manager
Phone
(770) 907-0070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

261 Medical Way
Suite a
Riverdale, GA 30274-2522

Mailing address

261 Medical Way
Suite a
Riverdale, GA 30274-2522
Phone (770) 907-0070

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1194913053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 MEDICAL WAY",
            "address_2": "SUITE A",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742522",
            "telephone_number": "770-907-0070",
            "fax_number": "770-996-5950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 MEDICAL WAY",
            "address_2": "SUITE A",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742522",
            "telephone_number": "770-907-0070",
            "fax_number": "770-996-5950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH METRO PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "LOFTON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "RN/OFFICE MANAGER",
        "authorized_official_telephone_number": "770-907-0070"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.