Active NPI
Tayyib Malik, D.M.D
- Student in an Organized Health Care Education/Training Program
- Atlanta, GA
National Provider Identifier
1306774591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 341 Ponce de Leon Ave NE
Atlanta, GA 30308-2012 - Phone
- (404) 616-2440
- NPI assigned
- May 11, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
341 Ponce de Leon Ave NE
Atlanta, GA 30308-2012
Mailing address
2479 Oak Hill Overlook
Duluth, GA 30097-7412
Phone (404) 574-3946
Other practice location 1
700 14th St NW
Atlanta, GA 30318-5408
Phone (404) 881-1858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778457600000",
"number": "1306774591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2479 OAK HILL OVERLOOK",
"city": "DULUTH",
"state": "GA",
"postal_code": "300977412",
"telephone_number": "404-574-3946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "341 PONCE DE LEON AVE NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303082012",
"telephone_number": "404-616-2440"
}
],
"practiceLocations": [
{
"address_1": "700 14th St NW",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303185408",
"country_code": "US",
"telephone_number": "404-881-1858",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALIK",
"first_name": "TAYYIB",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-05-11",
"last_updated": "2026-05-11",
"certification_date": "2026-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.