North Fulton Internal Medicine Group

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

NORTH FULTON INTERNAL MEDICINE GROUP

Practice address

2500 Hospital Blvd
Suite 250
Roswell, GA 30076-4907

Phone

(770) 442-1111

Fax

(770) 740-2990

NPI assigned

Apr 11, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Charity Q Boulton

Title

Practice Administrator

Phone

(770) 442-1111

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HHDCAA

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Philip G Huff, M.D.

  • Internal Medicine Physician
  • Roswell, GA
  • NPI 1972592632
  Medicare reassignment Care Compare group NPD
• Tiffany Edwards Madison, M.D.

  • Internal Medicine Physician
  • Roswell, GA
  • NPI 1841497054
  Medicare reassignment Care Compare group NPD
• Andrea Victoria Castro

  • Medical Physician Assistant
  • Roswell, GA
  • NPI 1669006839
  Medicare reassignment Care Compare group
• Robert A Young, PA-C

  • Medical Physician Assistant
  • Roswell, GA
  • NPI 1245229715
  Medicare reassignment Care Compare group
• Romina Ghafarian, MD

  • Internal Medicine Physician
  • Roswell, GA
  • NPI 1932696085
  Medicare reassignment NPD

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1396708087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 HOSPITAL BLVD",
            "address_2": "SUITE 250",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764907",
            "telephone_number": "770-442-1111",
            "fax_number": "770-740-2990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HOSPITAL BLVD",
            "address_2": "SUITE 250",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764907",
            "telephone_number": "770-442-1111",
            "fax_number": "770-740-2990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FULTON INTERNAL MEDICINE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BOULTON",
        "authorized_official_first_name": "CHARITY",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "770-442-1111",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Fulton Eye Center Optical, LLC
• North Fulton General Surgery, PC
• North Fulton Hearing Center LLC
• North Fulton Hospitalist Group, LLC
• North Fulton Imaging Partners, LP (Roswell Imaging Center)
• North Fulton Opical Inc.
• North Fulton Pediatrics
• North Fulton Podiatry
• North Fulton Primary Care-Willeo Road, LLC
• North Fulton Psychiatric Care PC

• Primary Care Clinic/Center in Roswell, GA
• Providers in Roswell, GA by specialty
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.