Imed Surgical of Atlanta PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

IMED SURGICAL OF ATLANTA PC

Practice address

1 Baltimore PL NW Ste 400
Atlanta, GA 30308-2117

Phone

(404) 480-4886

NPI assigned

Sep 18, 2019

Organization subpart

No

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

Authorized official

Name

Jennifer R Myers

Title

Compliance Administrator

Phone

(631) 479-3496

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Harvey Penfield Cole III, MD

  • Ophthalmology Physician
  • Atlanta, GA
  • NPI 1053364166
  Medicare reassignment NPD
• Michael Jones

  • Plastic Surgery Physician
  • New York, NY
  • NPI 1134297484
  NPD (past)

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

{
    "created_epoch": "1568764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1215587670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 E 39TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160968",
            "telephone_number": "212-223-0716",
            "fax_number": "917-791-9672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BALTIMORE PL NW STE 400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082117",
            "telephone_number": "404-480-4886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMED SURGICAL OF ATLANTA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-18",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "COMPLIANCE ADMINISTRATOR",
        "authorized_official_telephone_number": "631-479-3496"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imani Foundation
• Imani Foundation, Inc.
• Deborah Imani
• Elizabeth Kelly Imboden, RD
• Imed Network PA
• Amy D Imes, APRN, BC
• Kelly Imes, DPT
• Suzanne Imes, PH.D.
• Imetak LLC
• Christina Imhoff, RN, MSN, NP-C

• Surgery Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.