Nisbet Clinic, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

NISBET CLINIC, INC.

Practice address

3540 Duluth Park LN
Suite 110
Duluth, GA 30096-6674

Phone

(770) 476-4184

Fax

(770) 623-0819

NPI assigned

Nov 19, 2006

Last updated

Feb 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Nancy Nisbet, R.N.

Title

Ceo

Phone

(770) 476-4184

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• John R. Nisbet M.D. P.C. Former legal business name

Locations

Practitioners 1

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.

• Robert Douglas Clayton, M.D.

  • Internal Medicine Physician
  • Suwanee, GA
  • NPI 1558436907
  NPD (past)

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

{
    "created_epoch": "1163894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203120000000",
    "number": "1427122878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1355",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300960024",
            "telephone_number": "770-476-4184",
            "fax_number": "770-623-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 DULUTH PARK LN",
            "address_2": "SUITE 110",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300966674",
            "telephone_number": "770-476-4184",
            "fax_number": "770-623-0819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NISBET CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-19",
        "last_updated": "2008-02-16",
        "status": "A",
        "authorized_official_last_name": "NISBET",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-476-4184",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF GA",
            "identifier": "508612",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John R. Nisbet M.D. P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Internal Medicine Physician in Duluth, GA
• Providers in Duluth, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.