South Atlanta Medical Associates, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

035622 Issued in GA

Legal business name

SOUTH ATLANTA MEDICAL ASSOCIATES, PC

Practice address

1029 Cleveland Ave
East Point, GA 30344-6719

Phone

(404) 768-4626

Fax

(404) 768-4631

NPI assigned

Nov 29, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Nicky Battle-Bashir

Title

Office Manager

Phone

(404) 768-4626

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SAMUEL C. ERINNE MD Other name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• South Atlanta Medical Associates PC

  • Internal Medicine Physician
  • East Point, GA
  • NPI 1073782058

  O20080603000000

  Same enrollment

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• South Atlanta Medical Associates PC

  • Internal Medicine Physician
  • East Point, GA
  • NPI 1073782058
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samuel C Erinne, MD

  • Internal Medicine Physician
  • East Point, GA
  • NPI 1972555282
  Medicare reassignment

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341964800000",
    "number": "1366624520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1029 CLEVELAND AVE",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303446719",
            "telephone_number": "404-768-4626",
            "fax_number": "404-768-4631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 CLEVELAND AVE",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303446719",
            "telephone_number": "404-768-4626",
            "fax_number": "404-768-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH ATLANTA MEDICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2012-07-11",
        "status": "A",
        "authorized_official_last_name": "BATTLE-BASHIR",
        "authorized_official_first_name": "NICKY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "404-768-4626",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "035622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00508483G",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAMUEL C. ERINNE MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• South Fulton Dermatology Associates,LLP
• South Fulton Medical Center Practice Plan, LLC
• South Fulton Primary Care, LLC

• Internal Medicine Physician in East Point, GA
• Providers in East Point, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.