East Metro Primary Care

Primary specialty

SpecialistTaxonomy code 174400000X

License

017940 Issued in GA

Legal business name

EAST METRO PRIMARY CARE

Doing business as

East Atlanta Pediatrics

Practice address

325 Lester Rd NW
Suite C
Lawrenceville, GA 30044-4024

Phone

(770) 935-1515

Fax

(770) 935-1040

NPI assigned

Apr 15, 2013

Organization subpart

Yes

Parent organization

EAST METRO PRIMARY CAREAs reported in NPPES

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

Authorized official

Name

Dr. Afroz Rahman, MD

Title

Provider

Phone

(770) 935-1515

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• East Atlanta Pediatrics Doing business as

Part of

East Metro Primary Care

Locations

Practitioners 1

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

• Jalal Zuberi, MD

  • Pediatrics Physician
  • Lawrenceville, GA
  • NPI 1952394298
  NPD (past)

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

{
    "created_epoch": "1365984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365984000000",
    "number": "1396188876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 LESTER RD NW",
            "address_2": "SUITE C",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300444024",
            "telephone_number": "770-935-1515",
            "fax_number": "770-935-1040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 LESTER RD NW",
            "address_2": "SUITE C",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300444024",
            "telephone_number": "770-935-1515",
            "fax_number": "770-935-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST METRO PRIMARY CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EAST METRO PRIMARY CARE",
        "enumeration_date": "2013-04-15",
        "last_updated": "2013-04-15",
        "status": "A",
        "authorized_official_last_name": "RAHMAN",
        "authorized_official_first_name": "AFROZ",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "770-935-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": "017940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10039791",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "317911",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "317912",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "East Atlanta Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Specialist in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Specialist in Georgia

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