Individual provider Active NPI

Efe Efemini, MD

  • Hospitalist Physician
  • Atlanta, GA
National Provider Identifier
1205919990
Registry record updated Jun 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
056549 Issued in GA
Practice address
35 Collier Rd NW
Ste 635
Atlanta, GA 30309-1613
Phone
(404) 637-3014
Fax
(404) 367-3558
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 056549 GA Primary
Internal Medicine Physician 207R00000X 056549 GA

Addresses

Primary practice location

35 Collier Rd NW
Ste 635
Atlanta, GA 30309-1613

Mailing address

PO Box 102321
Atlanta, GA 30368-2321
Phone (404) 367-3014

Other identifiers 2

IdentifierTypeStateIssuer
359473530AMedicaidGA
P00294763OtherGARR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051019000521 GA Practitioner - Internal Medicine 8123044112 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Piedmont Hospitalist Physicians LLCGroup PAC ID 1951299163, 503 clinicians
Covenant Medical Group LLCGroup PAC ID 4082969241, 17 clinicians

Practice addresses (Care Compare)

35 Collier Rd NW
Suite 635
Atlanta, GA 30309-1611
Phone (404) 367-3000

483 Upper Riverdale Rd SW
Suite L
Riverdale, GA 30274-2579
Phone (770) 742-3883

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
056549GAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Alliance PLLC Internal Medicine CurrentSince Oct 10, 2021 Accepting new patients
Covenant Medical Group LLC CurrentSince Feb 15, 2021 Accepting new patients
City of Hope Medical Group of Georgia LLC Internal Medicine CurrentSince Jun 25, 2013 Accepting new patients
Piedmont Hospitalist Physicians LLC Internal Medicine CurrentSince Oct 1, 2005 Accepting new patients
Ecc Hospitalist Services PC Internal Medicine Past Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients

Locations

4700 Northpoint Pkwy
Alpharetta, GA 30022
Phone (762) 775-0075

35 Collier Rd NW
Ste 635
Atlanta, GA 30309
Phone (404) 367-3000

1412 Milstead Ave NE
Conyers, GA 30012
Phone (770) 918-3000

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

483 Upper Riverdale Rd SW
Ste L
Riverdale, GA 30274
Phone (770) 742-3883

520 W Erie St
Ste 100
Chicago, IL 60654

62742 Collections Ctr Dr
Chicago, IL 60693

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1205919990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102321",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303682321",
            "telephone_number": "404-367-3014",
            "fax_number": "404-367-3558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 COLLIER RD NW",
            "address_2": "STE 635",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091613",
            "telephone_number": "404-637-3014",
            "fax_number": "404-367-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EFEMINI",
        "first_name": "EFE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "GA",
            "license": "056549",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "056549",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "359473530A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00294763",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.