JJP Internal Medicine Group LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

044056GA Issued in GA

Legal business name

JJP INTERNAL MEDICINE GROUP LLC

Practice address

2310 Parklake Dr NE Ste 500
Atlanta, GA 30345-2916

Phone

(770) 696-5252

Fax

(470) 545-2909

NPI assigned

May 13, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Jean Joseph Philippe-Dambreville, MDNPI 1639177066

Title

Owner

Phone

(770) 696-5252

Specialties & licenses 4

Addresses

Other identifiers 2

Other names 1

• JJP INTERNAL MEDICINE GROUP Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Tax ID family

JJP Internal Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• JJP Internal Medicine Group LLC

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1376989517
  NPD tax ID

Locations

Practitioners 4

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

• Jean Joseph Philippe-Dambreville, MD

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1639177066

  Adult Medicine

  Medicare reassignment NPD Authorized official
• Wienelmine Estime, NP

  • Women's Health Nurse Practitioner
  • Atlanta, GA
  • NPI 1205181229
  NPD (past)
• Pierre J. Fontaine, M.D.

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1790949543

  Single Specialty

  NPD (past)
• Joseph G Moyse

  • Family Medicine Physician
  • Immokalee, FL
  • NPI 1114035466

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662163200000",
    "number": "1285070706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4955 FLYCATCHER DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300045877",
            "telephone_number": "770-826-7658",
            "fax_number": "470-545-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 PARKLAKE DR NE STE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452916",
            "telephone_number": "770-696-5252",
            "fax_number": "470-545-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JJP INTERNAL MEDICINE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-13",
        "last_updated": "2022-09-03",
        "certification_date": "2022-09-03",
        "status": "A",
        "authorized_official_last_name": "PHILIPPE-DAMBREVILLE",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-696-5252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "GA",
            "license": "044056GA",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "044056GA",
            "primary": true
        },
        {
            "code": "207RA0201X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "GA",
            "license": "044056GA",
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": "044056GA",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000884045E",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000884045I",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JJP INTERNAL MEDICINE GROUP",
            "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 Sep 3, 2022; 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.