Organization Active NPI

Medprime North, Inc.

  • Internal Medicine Physician
  • Suwanee, GA
National Provider Identifier
1417323387
Registry record updated Aug 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MEDPRIME NORTH, INC.
Practice address
5400 Laurel Springs Pkwy
Suite 1402
Suwanee, GA 30024-6056
Phone
(678) 965-0586
Fax
(678) 455-6125
NPI assigned
Aug 14, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2015

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

Authorized official

Name
Mrs. Amie Hunter Cheek, CPC
Title
Office Manager
Phone
(770) 401-8610

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Pediatric Adolescent Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080A0000X

Addresses

Primary practice location

5400 Laurel Springs Pkwy
Suite 1402
Suwanee, GA 30024-6056

Mailing address

5400 Laurel Springs Pkwy
Suite 1402
Suwanee, GA 30024-6056
Phone (678) 965-0586

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1439510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439510400000",
    "number": "1417323387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 LAUREL SPRINGS PKWY",
            "address_2": "SUITE 1402",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246056",
            "telephone_number": "678-965-0586",
            "fax_number": "678-455-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 LAUREL SPRINGS PKWY",
            "address_2": "SUITE 1402",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246056",
            "telephone_number": "678-965-0586",
            "fax_number": "678-455-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPRIME NORTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-14",
        "last_updated": "2015-08-14",
        "status": "A",
        "authorized_official_last_name": "CHEEK",
        "authorized_official_first_name": "AMIE",
        "authorized_official_middle_name": "HUNTER",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-401-8610",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CPC"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2015; 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.