Active NPI
Atlanta Medical Center
- Internal Medicine Physician
- Atlanta, GA
National Provider Identifier
1366799488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 005731
- Legal business name
- ATLANTA MEDICAL CENTER
- Practice address
- 303 Parkway Dr NE
Atlanta, GA 30312-1212 - Phone
- (404) 860-7154
- NPI assigned
- Aug 8, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Maria Demery
- Title
- Internal Medicine Coordinator
- Phone
- (404) 265-4919
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 005731 | GA | Primary |
Addresses
Primary practice location
303 Parkway Dr NE
Atlanta, GA 30312-1212
Mailing address
303 Parkway Dr NE
Atlanta, GA 30312-1212
Phone (404) 860-7154
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1344384000000",
"number": "1366799488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 PARKWAY DR NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303121212",
"telephone_number": "404-860-7154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 PARKWAY DR NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303121212",
"telephone_number": "404-860-7154"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLANTA MEDICAL CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-08",
"last_updated": "2012-08-08",
"status": "A",
"authorized_official_last_name": "DEMERY",
"authorized_official_first_name": "MARIA",
"authorized_official_title_or_position": "INTERNAL MEDICINE COORDINATOR",
"authorized_official_telephone_number": "404-265-4919",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "GA",
"license": "005731",
"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 Aug 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.