Organization Active NPI

Wilmer & Associates Group Inc.

  • Family Medicine Physician
  • Norcross, GA
National Provider Identifier
1407025463
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
WILMER & ASSOCIATES GROUP INC.
Practice address
1234 Beaver Ruin Rd
Suite 108
Norcross, GA 30093-3005
Phone
(770) 381-0055
Fax
(770) 381-0052
NPI assigned
Feb 25, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

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

Authorized official

Name
Wilmer A Loza
Title
President
Phone
(770) 381-0055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1234 Beaver Ruin Rd
Suite 108
Norcross, GA 30093-3005

Mailing address

1234 Beaver Ruin Rd
Suite 108
Norcross, GA 30093-3005
Phone (770) 381-0055

National Provider Directory

National Provider Directory

Locations

1234 Beaver Ruin Rd
Ste 108
Norcross, GA 30093
Phone (770) 274-3610

Practitioners & affiliated clinicians

Practitioners 1

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": "1203897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1407025463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 BEAVER RUIN RD",
            "address_2": "SUITE 108",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300933005",
            "telephone_number": "770-381-0055",
            "fax_number": "770-381-0052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1234 BEAVER RUIN RD",
            "address_2": "SUITE 108",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300933005",
            "telephone_number": "770-381-0055",
            "fax_number": "770-381-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILMER & ASSOCIATES GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-25",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "LOZA",
        "authorized_official_first_name": "WILMER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-381-0055"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.