Organization Active NPI

Neesam Company Incorporated

  • Family Medicine Physician
  • Atlanta, GA
National Provider Identifier
1376952069
Registry record updated Jan 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NEESAM COMPANY INCORPORATED
Practice address
777 Cleveland Ave SW Ste 500
Atlanta, GA 30315-7115
Phone
(404) 755-2291
Fax
(404) 755-5377
NPI assigned
Aug 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2023

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

Authorized official

Name
Drew Lewis
Title
Cfo
Phone
(404) 409-6577

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X

Addresses

Primary practice location

777 Cleveland Ave SW Ste 500
Atlanta, GA 30315-7115

Mailing address

777 Cleveland Ave SW Ste 500
Atlanta, GA 30315-7115
Phone (404) 755-2291

Other identifiers 1

IdentifierTypeStateIssuer
003188149AMedicaidGA

Other names 1

  • South Atlanta Area Primary Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150520000447 GA Part B Supplier - Clinic/Group Practice 0547580201 Receives reassigned benefits from 3 practitioners
Practice locations: Atlanta, GA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0878886Neesam Company Inc777 Cleveland Avenue, Suite 500, Atlanta, GA 30315Provider-performed microscopyDec 22, 2026

National Provider Directory

National Provider Directory

Locations

777 Cleveland Ave SW
Ste 500
Atlanta, GA 30315
Phone (404) 409-6577

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1376952069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 CLEVELAND AVE SW STE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303157115",
            "telephone_number": "404-755-2291",
            "fax_number": "404-755-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CLEVELAND AVE SW STE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303157115",
            "telephone_number": "404-755-2291",
            "fax_number": "404-755-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEESAM COMPANY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-06",
        "last_updated": "2023-01-11",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "DREW",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "404-409-6577"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003188149A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Atlanta Area Primary Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "South Atlanta Area Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 11, 2023; 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.