Active NPI
Netphysician Inc
- Clinical & Laboratory Immunology (Allergy & Immunology) Physician
- Atlanta, GA
National Provider Identifier
1215132725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical & Laboratory Immunology (Allergy & Immunology) Physician
- License
- GA038561
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical & Laboratory Immunology (Allergy & Immunology) Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699895961 | Other | GA | PROVIDENCE CLINICAL # |
| 1073739249 | Other | GA | FRANK PETER MATALONE, DO |
National Provider Directory
National Provider DirectoryLocations
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.