Piedmont Athens Primary Care LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PIEDMONT ATHENS PRIMARY CARE LLC

Practice address

1199 Prince Ave
Athens, GA 30606-2797

Phone

(706) 369-5440

Fax

(706) 369-5490

NPI assigned

Dec 20, 2017

Last updated

Aug 11, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Christy Aquino

Title

Director of Provider Enrollment

Phone

(470) 271-3427

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Piedmont Athens Regional Medical Center, Inc

  • Internal Medicine Physician
  • Athens, GA
  • NPI 1235585092

  Member Of

  NPD member

Locations

Practitioners 130

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.

• Ibipo Muinat Abdurraheem-Salami, MD

  • Internal Medicine Physician
  • Athens, GA
  • NPI 1962024323
  Medicare reassignment Care Compare group NPD
• Mary Allison Adams, NP

  • Nurse Practitioner
  • Commerce, GA
  • NPI 1003179946
  Medicare reassignment Care Compare group NPD
• Tejumade Adelore, M.D

  • Hospitalist Physician
  • Athens, GA
  • NPI 1316493638
  Medicare reassignment Care Compare group NPD
• Heather Corey Anderson, NP

  • Family Nurse Practitioner
  • Watkinsville, GA
  • NPI 1518031236
  Medicare reassignment Care Compare group NPD
• Tinuola Omoniyi Andre, MD

  • Internal Medicine Physician
  • Athens, GA
  • NPI 1083238448
  Medicare reassignment Care Compare group NPD
• Catherine E Appiah-Pippim, MD, FACP

  • Internal Medicine Physician
  • Athens, GA
  • NPI 1306947403
  Medicare reassignment Care Compare group NPD
• James A Appiah-Pippim, MD

  • Internal Medicine Physician
  • Athens, GA
  • NPI 1891732012
  Medicare reassignment Care Compare group NPD
• Njika Atemnkeng, MD

  • Internal Medicine Physician
  • Athens, GA
  • NPI 1548870298
  Medicare reassignment Care Compare group NPD
• Matthew B Baker, MD

  • Internal Medicine Physician
  • Athens, GA
  • NPI 1316975782
  Medicare reassignment Care Compare group NPD
• Molly Kathryn Berglund, APRN, FNP-BC

  • Family Nurse Practitioner
  • Athens, GA
  • NPI 1518390012
  Medicare reassignment Care Compare group NPD
• Charles L Braucher, MD

  • Internal Medicine Physician
  • Athens, GA
  • NPI 1629007216
  Medicare reassignment Care Compare group NPD
• Shirley Rene Breedlove, FNP

  • Family Nurse Practitioner
  • Homer, GA
  • NPI 1811911407
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1513728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1245746783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 117264",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303687264",
            "telephone_number": "770-801-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1199 PRINCE AVE",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062797",
            "telephone_number": "706-369-5440",
            "fax_number": "706-369-5490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2727 Paces Ferry Road",
            "address_2": "Building 1 Suite 1-1100",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "30339",
            "country_code": "US",
            "telephone_number": "770-801-2500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 Oglethorpe Ave Ste 600B",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "30606",
            "country_code": "US",
            "telephone_number": "706-559-4188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PIEDMONT ATHENS PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-20",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "AQUINO",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "DIRECTOR OF PROVIDER ENROLLMENT",
        "authorized_official_telephone_number": "470-271-3427",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003208591A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Physicians American Medical
• Physicians Management Group Alliance, LLC
• Physicians South Neurology LLC
• Physiofit DPT LLC
• Physiotherapy Associates Inc (Physio-Athens)
• Piedmont Athens Regional Firstcare LLC
• Piedmont Athens Regional Medical Center, Inc
• Piedmont Athens Regional Medical Center, Inc (Beautiful You)
• Piedmont Athens Regional Medical Center, Inc. (Piedmont Home Infusion)
• Piedmont Athens Regional Medical Center, Inc. (Piedmont Home Health)

• Family Medicine Physician in Athens, GA
• Providers in Athens, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.