Southern Physician Practice Group PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

Legal business name

SOUTHERN PHYSICIAN PRACTICE GROUP PC

Doing business as

test4free.org

Practice address

3180 N Point Pkwy Ste 302
Alpharetta, GA 30005-4381

Phone

(678) 224-8686

Fax

(678) 224-8879

NPI assigned

Aug 31, 2020

Last updated

Sep 2, 2020By 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

Dr. Moshe Bachar, MDNPI 1669736559

Title

Ceo

Phone

(404) 800-5181

Specialties & licenses 1

Addresses

Other names 1

• test4free.org Doing business as

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.

• Moshe Bachar, M.D.

  • Internal Medicine Physician
  • Norcross, GA
  • NPI 1669736559
  Authorized official Same address or phone

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1467066241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 N POINT PKWY STE 302",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054381",
            "telephone_number": "404-800-5181",
            "fax_number": "404-800-5797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 N POINT PKWY STE 302",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054381",
            "telephone_number": "678-224-8686",
            "fax_number": "678-224-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN PHYSICIAN PRACTICE GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "BACHAR",
        "authorized_official_first_name": "MOSHE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-800-5181",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "test4free.org",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Medical Specialty Clinic/Center in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Medical Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; 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.