NPIMap

Organization Active NPI

JJP Internal Medicine Group LLC

  • Internal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1376989517
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
044056 Issued in GA
Legal business name
JJP INTERNAL MEDICINE GROUP LLC
Practice address
5825 Glenridge Dr NE
BLDG 2 Suite 120
Atlanta, GA 30328-5387
Phone
(404) 250-1204
Fax
(404) 250-1205
NPI assigned
May 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2013

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

Authorized official

Name
Jean Philippe, MD
Title
Ceo
Phone
(404) 250-1204

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207QA0505X 044056 GA
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 044056 GA Primary

Addresses

Primary practice location

5825 Glenridge Dr NE
BLDG 2 Suite 120
Atlanta, GA 30328-5387

Mailing address

5825 Glenridge Dr NE
BLDG 2 Suite 120
Atlanta, GA 30328-5387
Phone (404) 250-1204

Other identifiers 1

IdentifierTypeStateIssuer
000884045EMedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
JJP Internal Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2310 Parklake Dr NE
Ste 425
Atlanta, GA 30345
Phone (770) 696-5252

368 W Pike St
Ste 106
Lawrenceville, GA 30046
Phone (302) 307-1663

Practitioners & affiliated clinicians

Practitioners 2

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": "1368576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368576000000",
    "number": "1376989517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5825 GLENRIDGE DR NE",
            "address_2": "BLDG 2 SUITE 120",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285387",
            "telephone_number": "404-250-1204",
            "fax_number": "404-250-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5825 GLENRIDGE DR NE",
            "address_2": "BLDG 2 SUITE 120",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285387",
            "telephone_number": "404-250-1204",
            "fax_number": "404-250-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JJP INTERNAL MEDICINE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-15",
        "last_updated": "2013-05-15",
        "status": "A",
        "authorized_official_last_name": "PHILIPPE",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-250-1204",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": "GA",
            "license": "044056",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "044056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000884045E",
            "state": "GA"
        }
    ],
    "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 May 15, 2013; 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.