Teal Medical Group

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

TEAL MEDICAL GROUP

Practice address

2045 Peachtree Rd NE Ste 412
Atlanta, GA 30309-1408

Phone

(404) 383-0945

Fax

(888) 571-6147

NPI assigned

Feb 7, 2023

Organization subpart

No

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

Authorized official

Name

Dr. Chassidy Teal, DONPI 1083147961

Title

Authorized Official

Phone

(404) 985-7547

Specialties & licenses 2

Addresses

Practitioners 1

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

• Chassidy Teal, D.O.

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1083147961
  NPD Authorized official

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1386340669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 PEACHTREE RD NE STE 412",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091408",
            "telephone_number": "404-383-0945",
            "fax_number": "888-571-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 PEACHTREE RD NE STE 412",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091408",
            "telephone_number": "404-383-0945",
            "fax_number": "888-571-6147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-07",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "TEAL",
        "authorized_official_first_name": "CHASSIDY",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "404-985-7547",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teachers on Demand, Inc
• Diane L Teagarden, NP, APRN-BC, MSN
• Kim Sandy Teague, RN, MS, CNS
• Rebecca Teague, MD
• Robert W Teague
• Vandelia Teal-Surratt, NP
• Adrienne Sara Teal
• Ashleigh Teal
• Brian Austin Teal, LCSW
• Chassidy Teal, D.O.

• Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.