NPIMap

Organization Active NPI

Prism Medical Group ,LLC

  • Clinic/Center
  • Marietta, GA
National Provider Identifier
1487397105
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
PRISM MEDICAL GROUP ,LLC
Practice address
1343 Terrell Mill Rd SE Ste 232
Marietta, GA 30067-9472
Phone
(404) 814-4634
NPI assigned
Apr 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Authorized official

Name
Dr. Michael Pompey, MDNPI 1972805315
Title
Owner
Phone
(404) 844-8334

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1343 Terrell Mill Rd SE Ste 232
Marietta, GA 30067-9472

Mailing address

2381 Red Hibiscus CT
Atlanta, GA 30331-8019
Phone (404) 844-8334

National Provider Directory

National Provider Directory

Locations

1343 Terrell Mill Rd SE
Ste 232
Marietta, GA 30067
Phone (404) 814-4634

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1650412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1487397105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2381 RED HIBISCUS CT",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318019",
            "telephone_number": "404-844-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1343 TERRELL MILL RD SE STE 232",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300679472",
            "telephone_number": "404-814-4634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISM MEDICAL GROUP ,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-20",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-19",
        "status": "A",
        "authorized_official_last_name": "POMPEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-844-8334",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.