NPIMap

Organization Active NPI

Physicians Primary Care Group Inc.

  • Family Medicine Physician
  • Atlanta, GA
National Provider Identifier
1295924157
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
097671 LGB Issued in GA
Legal business name
PHYSICIANS PRIMARY CARE GROUP INC.
Practice address
2391 Benjamin E Mays Dr SW
Second Floor
Atlanta, GA 30311-3251
Phone
(404) 755-2291
Fax
(404) 755-5377
NPI assigned
Oct 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Authorized official

Name
Ms. Angie Neely Penn
Title
Director, Administrative Services
Phone
(404) 755-2291

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 097671 LGB GA
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 097671 LGB GA Primary
Foot Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0131X 097671 LGB GA

Addresses

Primary practice location

2391 Benjamin E Mays Dr SW
Second Floor
Atlanta, GA 30311-3251

Mailing address

PO Box 42248
Atlanta, GA 30311-0248
Phone (404) 755-2291

Other names 1

  • Cascade Primary Care Group Doing business as

National Provider Directory

National Provider Directory

Locations

2391 Benjamin E Mays Dr SW
Fl Second
Atlanta, GA 30311
Phone (404) 755-2291

Practitioners & affiliated clinicians

Practitioners 5

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": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1295924157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 42248",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303110248",
            "telephone_number": "404-755-2291",
            "fax_number": "404-755-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2391 BENJAMIN E MAYS DR SW",
            "address_2": "SECOND FLOOR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303113251",
            "telephone_number": "404-755-2291",
            "fax_number": "404-755-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS PRIMARY CARE GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "NEELY PENN",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_title_or_position": "DIRECTOR, ADMINISTRATIVE SERVICES",
        "authorized_official_telephone_number": "404-755-2291",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "097671 LGB",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "097671 LGB",
            "primary": true
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot Surgery",
            "state": "GA",
            "license": "097671 LGB",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cascade Primary Care Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.