South Atlanta Pulmonary Group

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

020396 Issued in GA

Legal business name

SOUTH ATLANTA PULMONARY GROUP

Practice address

1136 Cleveland Ave
Suite 519
East Point, GA 30344-3618

Phone

(404) 761-3525

Fax

(404) 766-3696

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Cheryl L Reyes

Title

Business Office Manager

Phone

(404) 466-6242

Specialties & licenses 4

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Mohammad Ali Al Azem, M.D.

  • Pulmonary Disease Physician
  • Marietta, GA
  • NPI 1174612477

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261526400000",
    "number": "1376676486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 CLEVELAND AVE",
            "address_2": "SUITE 519",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443618",
            "telephone_number": "404-761-3525",
            "fax_number": "404-766-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 CLEVELAND AVE",
            "address_2": "SUITE 519",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443618",
            "telephone_number": "404-761-3525",
            "fax_number": "404-766-3696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH ATLANTA PULMONARY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2009-12-23",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "404-466-6242",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "020396",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "028704",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "020396",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "GA",
            "license": "028704",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000179286C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000330206B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sound Physicians of Georgia III PC
• South Atlant Medical& Rehabilitation, L.L.C.
• South Atlanta Digestive Diseases Associates
• South Atlanta Medical Associates PC
• South Atlanta Medical Associates, PC
• South Atlanta Spine and Wellness Center
• South Fulton Dermatology Associates,LLP
• South Fulton Medical Center Practice Plan, LLC
• South Fulton Primary Care, LLC
• South Fulton Regional Medical Center Pro Fee Billing, LLC

• Pulmonary Disease Physician in East Point, GA
• Providers in East Point, GA by specialty
• Pulmonary Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.