NPIMap

Organization Active NPI

Homecare Medicine of Atlanta LLC

  • Internal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1467882795
Registry record updated Aug 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
68460 Issued in GA
Legal business name
HOMECARE MEDICINE OF ATLANTA LLC
Practice address
3330 Cumberland Blvd SE
Ste 500
Atlanta, GA 30339-5995
Phone
(770) 740-2611
Fax
(770) 800-3100
NPI assigned
Nov 22, 2013
Last updated
Aug 1, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2017

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

Authorized official

Name
Mary NwokeNPI 1588891261
Title
Organizer
Phone
(240) 271-4480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 67534 GA
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X 68460 GA Primary

Addresses

Primary practice location

3330 Cumberland Blvd SE
Ste 500
Atlanta, GA 30339-5995

Mailing address

3330 Cumberland Blvd SE
Ste 500
Atlanta, GA 30339-5995

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1385078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501545600000",
    "number": "1467882795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3330 CUMBERLAND BLVD SE",
            "address_2": "STE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 CUMBERLAND BLVD SE",
            "address_2": "STE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395995",
            "telephone_number": "770-740-2611",
            "fax_number": "770-800-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMECARE MEDICINE OF ATLANTA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-22",
        "last_updated": "2017-08-01",
        "status": "A",
        "authorized_official_last_name": "NWOKE",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "240-271-4480"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "67534",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "68460",
            "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 1, 2017; 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.