West Atlanta Internal Medicine PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

046866 Issued in GA

Legal business name

WEST ATLANTA INTERNAL MEDICINE PC

Practice address

6128 Prestley Mill Rd
Suite G
Douglasville, GA 30134-5621

Phone

(770) 942-6903

Fax

(770) 942-6908

NPI assigned

Jan 17, 2013

Last updated

Jan 28, 2013By 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

Dr. John Alexander Johnson, MD

Title

Medical Director/Owner

Phone

(770) 942-6903

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

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/25761/brand/1/csg/1/fhir/r4

Practitioners 1

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.

• Maxwell Uhakheme, MD

  • Internal Medicine Physician
  • Douglasville, GA
  • NPI 1912264813
  Medicare reassignment

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

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1356689806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6128 PRESTLEY MILL RD",
            "address_2": "SUITE G",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301345621",
            "telephone_number": "770-942-6903",
            "fax_number": "770-942-6908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6128 PRESTLEY MILL RD",
            "address_2": "SUITE G",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301345621",
            "telephone_number": "770-942-6903",
            "fax_number": "770-942-6908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST ATLANTA INTERNAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-28",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "ALEXANDER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "770-942-6903",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "GA",
            "license": "046866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Wellstreet of Georgia PC (Piedmont Urgent Care by Wellstreet)
• Alisha Welsh
• West Atlanta Orthopaedic Center
• West Atlanta Primary Care
• West Georgia Audiology (Beltone)
• West Georgia Community Care, LLC
• West Georgia Psychological Services

• Medical Specialty Clinic/Center in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Medical Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; 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.