NPIMap

Organization Active NPI

Rheumatology of North Atlanta

  • Rheumatology Physician
  • Lawrenceville, GA
National Provider Identifier
1487780599
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
043112 Issued in GA
Legal business name
RHEUMATOLOGY OF NORTH ATLANTA
Practice address
4790 Sugarloaf Pkwy
Suite 100
Lawrenceville, GA 30044-6985
Phone
(678) 226-2600
NPI assigned
Feb 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Roel Nolido Querubin, M.D.NPI 1124154323
Title
President
Phone
(678) 226-2600

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
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X 043112 GA Primary

Addresses

Primary practice location

4790 Sugarloaf Pkwy
Suite 100
Lawrenceville, GA 30044-6985

Mailing address

PO Box 942449
Atlanta, GA 31141-2449
Phone (678) 226-2600

National Provider Directory

National Provider Directory

Locations

4790 Sugarloaf Pkwy
Ste 100
Lawrenceville, GA 30044
Phone (678) 226-2600

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": "1172361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487780599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 942449",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311412449",
            "telephone_number": "678-226-2600",
            "fax_number": "678-226-2635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4790 SUGARLOAF PKWY",
            "address_2": "SUITE 100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300446985",
            "telephone_number": "678-226-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RHEUMATOLOGY OF NORTH ATLANTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "QUERUBIN",
        "authorized_official_first_name": "ROEL",
        "authorized_official_middle_name": "NOLIDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-226-2600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "GA",
            "license": "043112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.