East Metro Rheumatology LLC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

050939 Issued in GA

Legal business name

EAST METRO RHEUMATOLOGY LLC

Practice address

1775 Access Rd
Suite C
Covington, GA 30014-1987

Phone

(678) 729-0003

Fax

(770) 255-0125

NPI assigned

Jun 25, 2006

Last updated

Aug 20, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Faryal U Baloch, M.D.NPI 1174519847

Title

Ceo

Phone

(678) 729-0003

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Faryal Baloch, M.D.

  • Rheumatology Physician
  • Covington, GA
  • NPI 1174519847
  Medicare reassignment NPD Authorized official
• Muhammad Abbasi, M.D.

  • Internal Medicine Physician
  • Covington, GA
  • NPI 1962496893
  NPD (past)
• Amanda Butler, FNP-C

  • Family Nurse Practitioner
  • McDonough, GA
  • NPI 1639578305
  NPD (past)
• Charles W Holloway, PA-C

  • Medical Physician Assistant
  • Blairsville, GA
  • NPI 1063784676
  NPD (past)
• Lisa Renee Jones

  • Family Nurse Practitioner
  • Hampton, GA
  • NPI 1730679051
  NPD (past)
• Jamie Christopher Morrison, PA-C

  • Medical Physician Assistant
  • Dunwoody, GA
  • NPI 1649365297
  NPD (past)
• Yormica L Truitt, PA-C

  • Medical Physician Assistant
  • Covington, GA
  • NPI 1598929630
  NPD (past)
• Ikramullah Ahmadani, M.D.

  • Family Medicine Physician
  • Columbia, SC
  • NPI 1497702567
  NPD (past)
• Marisa Persaud, PA-C

  • Physician Assistant
  • Durham, NC
  • NPI 1710362280
  NPD (past)

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345420800000",
    "number": "1326074600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 ACCESS RD",
            "address_2": "SUITE C",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300141987",
            "telephone_number": "678-729-0003",
            "fax_number": "770-255-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 ACCESS RD",
            "address_2": "SUITE C",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300141987",
            "telephone_number": "678-729-0003",
            "fax_number": "770-255-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST METRO RHEUMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2012-08-20",
        "status": "A",
        "authorized_official_last_name": "BALOCH",
        "authorized_official_first_name": "FARYAL",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-729-0003",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "GA",
            "license": "050939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jonathan W Eberwine
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• Debra Faye Edwards

• Rheumatology Physician in Covington, GA
• Providers in Covington, GA by specialty
• Rheumatology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.