NPIMap

Organization Active NPI

Mount Vernon Premier Care, LLC

  • Internal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1427337021
Registry record updated Aug 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35513 Issued in GA
Legal business name
MOUNT VERNON PREMIER CARE, LLC
Practice address
755 Mount Vernon Hwy NE
Suite 400
Atlanta, GA 30328-4274
Phone
(404) 419-9970
Fax
(404) 252-8930
NPI assigned
Aug 12, 2011
Last updated
Aug 12, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2011

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

Authorized official

Name
Dr. Gladstone Arnold Sellers, M.D.NPI 1063521102
Title
Partner
Phone
(404) 419-9970

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35513 GA Primary

Addresses

Primary practice location

755 Mount Vernon Hwy NE
Suite 400
Atlanta, GA 30328-4274

Mailing address

755 Mount Vernon Hwy NE
Suite 400
Atlanta, GA 30328-4274
Phone (404) 419-9970

National Provider Directory

National Provider Directory

Locations

1100 Johnson Fy Rd NE
Ste 190
Sandy Springs, GA 30342
Phone (404) 419-9970

755 Mount Vernon Hwy NE
Ste 400B
Sandy Springs, GA 30328
Phone (404) 419-9970

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1313107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313107200000",
    "number": "1427337021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 MOUNT VERNON HWY NE",
            "address_2": "SUITE 400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284274",
            "telephone_number": "404-419-9970",
            "fax_number": "404-252-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 MOUNT VERNON HWY NE",
            "address_2": "SUITE 400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284274",
            "telephone_number": "404-419-9970",
            "fax_number": "404-252-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNT VERNON PREMIER CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-12",
        "last_updated": "2011-08-12",
        "status": "A",
        "authorized_official_last_name": "SELLERS",
        "authorized_official_first_name": "GLADSTONE",
        "authorized_official_middle_name": "ARNOLD",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "404-419-9970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "35513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; 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.