NPIMap

Organization Active NPI

Physicians Immediate Med of Peachtree Corners, P.C.

  • Family Medicine Physician
  • Norcross, GA
National Provider Identifier
1215978143
Registry record updated Feb 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PHYSICIANS IMMEDIATE MED OF PEACHTREE CORNERS, P.C.
Practice address
3720 Holcomb Bridge Rd
Norcross, GA 30092-4795
Phone
(770) 263-1000
Fax
(770) 263-7770
NPI assigned
Jun 10, 2006
Last updated
Feb 14, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2013

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

Authorized official

Name
Loretta P Hart
Title
Branch Manager
Phone
(770) 263-1000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

3720 Holcomb Bridge Rd
Norcross, GA 30092-4795

Mailing address

3720 Holcomb Bridge Rd
Norcross, GA 30092-4795
Phone (770) 263-1000

National Provider Directory

National Provider Directory

Locations

3720 Holcomb Bridge Rd
Peachtree Corners, GA 30092
Phone (770) 263-1000

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360800000000",
    "number": "1215978143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3720 HOLCOMB BRIDGE RD",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300924795",
            "telephone_number": "770-263-1000",
            "fax_number": "770-263-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 HOLCOMB BRIDGE RD",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300924795",
            "telephone_number": "770-263-1000",
            "fax_number": "770-263-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS IMMEDIATE MED OF PEACHTREE CORNERS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2013-02-14",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "BRANCH MANAGER",
        "authorized_official_telephone_number": "770-263-1000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2013; 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.