Organization Active NPI

Netphysician Inc

  • Clinical & Laboratory Immunology (Allergy & Immunology) Physician
  • Atlanta, GA
National Provider Identifier
1215132725
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianTaxonomy code 207KI0005X
License
GA038561 Issued in GA
Legal business name
NETPHYSICIAN INC
Practice address
3039 Amwiler Rd
Suite 118
Atlanta, GA 30360-2824
Phone
(770) 326-6143
NPI assigned
Jun 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Sharon Ann Brubaker
Title
VP Owner
Phone
(678) 957-0156

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207KI0005X GA038561 GA Primary

Addresses

Primary practice location

3039 Amwiler Rd
Suite 118
Atlanta, GA 30360-2824

Mailing address

5700 Lake Manor Trce
Alpharetta, GA 30022-2613
Phone (678) 957-0156

Other identifiers 2

IdentifierTypeStateIssuer
1699895961OtherGAPROVIDENCE CLINICAL #
1073739249OtherGAFRANK PETER MATALONE, DO

National Provider Directory

National Provider Directory

Locations

3039 Amwiler Rd
Ste 118
Atlanta, GA 30360
Phone (770) 326-6143

NPI Registry JSON

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215132725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 LAKE MANOR TRCE",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300222613",
            "telephone_number": "678-957-0156",
            "fax_number": "678-935-3994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3039 AMWILER RD",
            "address_2": "SUITE 118",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303602824",
            "telephone_number": "770-326-6143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NETPHYSICIAN INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRUBAKER",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "VP OWNER",
        "authorized_official_telephone_number": "678-957-0156"
    },
    "taxonomies": [
        {
            "code": "207KI0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": "GA",
            "license": "GA038561",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDENCE CLINICAL #",
            "identifier": "1699895961",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FRANK PETER MATALONE, DO",
            "identifier": "1073739249",
            "state": "GA"
        }
    ],
    "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 Aug 22, 2020; 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.