Organization Active NPI

Murray Internal Medicine, PC

  • Internal Medicine Physician
  • Chatsworth, GA
National Provider Identifier
1295992022
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
035479 Issued in GA
Legal business name
MURRAY INTERNAL MEDICINE, PC
Practice address
106 Hospital Dr
Chatsworth, GA 30705-2070
Phone
(706) 695-1488
Fax
(706) 422-9586
NPI assigned
May 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Mrs. Mandy Lynn Fontaine
Title
Office Manager
Phone
(706) 695-1488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 035479 GA Primary

Addresses

Primary practice location

106 Hospital Dr
Chatsworth, GA 30705-2070

Mailing address

106 Hospital Dr
Chatsworth, GA 30705-2070
Phone (706) 695-1488

Other identifiers 1

IdentifierTypeStateIssuer
00543837CMedicaidGA

National Provider Directory

National Provider Directory

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": "1211241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1295992022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 HOSPITAL DR",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307052070",
            "telephone_number": "706-695-1488",
            "fax_number": "706-422-9586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 HOSPITAL DR",
            "city": "CHATSWORTH",
            "state": "GA",
            "postal_code": "307052070",
            "telephone_number": "706-695-1488",
            "fax_number": "706-422-9586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MURRAY INTERNAL MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-20",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "FONTAINE",
        "authorized_official_first_name": "MANDY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "706-695-1488",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "035479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00543837C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chatsworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.