Buckhead Concierge Internal Medicine, LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

059636 Issued in GA

Legal business name

BUCKHEAD CONCIERGE INTERNAL MEDICINE, LLC

Practice address

91 W Wieuca Rd NE
Suite 1000
Atlanta, GA 30342-3248

Phone

(404) 257-5585

Fax

(404) 257-9985

NPI assigned

Mar 3, 2008

Organization subpart

No

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

Authorized official

Name

Edward Antonio Espinosa, MD

Title

Physician Owner

Phone

(404) 257-5585

Specialties & licenses 1

Addresses

Other names 1

• Buckhead Medicine Doing business as

Locations

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

{
    "created_epoch": "1204502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520294400000",
    "number": "1245400514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 W WIEUCA RD NE",
            "address_2": "SUITE 1000",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423248",
            "telephone_number": "404-257-5585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 W WIEUCA RD NE",
            "address_2": "SUITE 1000",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423248",
            "telephone_number": "404-257-5585",
            "fax_number": "404-257-9985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKHEAD CONCIERGE INTERNAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-03",
        "last_updated": "2018-03-06",
        "status": "A",
        "authorized_official_last_name": "ESPINOSA",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "404-257-5585",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "059636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Buckhead Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Buckhead Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; 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.