NPIMap

Organization Active NPI

In Ae Medical Center PC

  • Geriatric Medicine (Family Medicine) Physician
  • Doraville, GA
National Provider Identifier
1275733966
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
054651 Issued in GA
Legal business name
IN AE MEDICAL CENTER PC
Practice address
2830 Clearview PL
100
Doraville, GA 30340-2134
Phone
(678) 205-2670
Fax
(678) 205-2671
NPI assigned
Jul 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2007

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

Authorized official

Name
Dr. Esther Brito, MDNPI 1912058876
Title
President
Phone
(678) 205-2670

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X 054651 GA Primary

Addresses

Primary practice location

2830 Clearview PL
100
Doraville, GA 30340-2134

Mailing address

2830 Clearview PL
100
Doraville, GA 30340-2134
Phone (678) 205-2670

National Provider Directory

National Provider Directory

Locations

2830 Clearview Pl
Ste 100
Doraville, GA 30340
Phone (678) 205-2670

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184889600000",
    "number": "1275733966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2830 CLEARVIEW PL",
            "address_2": "100",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303402134",
            "telephone_number": "678-205-2670",
            "fax_number": "678-205-2671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 CLEARVIEW PL",
            "address_2": "100",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303402134",
            "telephone_number": "678-205-2670",
            "fax_number": "678-205-2671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN AE MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-07-20",
        "status": "A",
        "authorized_official_last_name": "BRITO",
        "authorized_official_first_name": "ESTHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-205-2670",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "GA",
            "license": "054651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doraville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; 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.