Altea Medical Georgia PC
Organization Active NPI Geriatric Medicine (Internal Medicine) Physician · Sylvania, GA
NPI 1407692452 · NPPES record last updated Nov 13, 2025
Key facts
- NPI
- 1407692452
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician 207RG0300X
- Legal business name
- ALTEA MEDICAL GEORGIA PC
- Practice address
- 411 Pine St
Sylvania, GA 30467-2035 - Phone
- (888) 408-7008
- NPI assigned
- Jul 8, 2024
- Organization subpart
- No
Authorized official
- Name
- Mary Belen Arndt
- Title
- Director of RCM
- Phone
- (888) 408-7008
Practitioners 16
-
Sherma Peter, M.D.
-
Adewumi Bakare, DMS, PA
-
Karen Elaine Burke, APRN
-
David Randall Castor, M.D.
-
Tina Renell Goethie-Lyons, APRN, MSN, FNP-BC
-
Jodhvir Sarai, MD
-
Daniel Lee Thorngren III, M.D.
-
Brandon Soule, PA-C
-
Mark A Corbitt, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250306000036 | GA | Part B Supplier - Clinic/Group Practice | 2466973516 |
Receives reassigned benefits from 15 practitioners Practice locations: Nashville, GA; Sylvania, GA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician |
207QA0505X | |||
| Internal Medicine Physician |
207R00000X | |||
| Geriatric Medicine (Internal Medicine) Physician |
207RG0300X | Yes | ||
| Physical Medicine & Rehabilitation Physician |
208100000X |
Addresses
Primary practice location
411 Pine St
Sylvania, GA 30467-2035
Mailing address
400 E Rivulon Blvd Ste 103
Gilbert, AZ 85297-0096
Other providers in Sylvania, GA
- Aacademy Adult Day &Seniorliiving Facilityllc
- Jessica B. Aaron
- Adult Homes Services
- Karen Beale Anderson
- Anesthesia Providers of Augusta, Inc
- John Will Bacon
- Ashlyn Nicole Bazemore
- Dawn Bello
All providers in Sylvania, GA · Geriatric Medicine (Internal Medicine) Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.