Tri County Internal Medicine, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

TRI COUNTY INTERNAL MEDICINE, PC

Practice address

4720 Nelson Brogdon Blvd
Sugar Hill, GA 30518-3480

Phone

(770) 945-1990

Fax

(678) 745-4139

NPI assigned

Jul 2, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Susan D Coker

Title

Practice Administrator

Phone

(770) 945-1990

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AGEJCD

Practitioners 8

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

• Christopher Borrego, D.O.

  • Internal Medicine Physician
  • Sugarhill, GA
  • NPI 1811999543
  Medicare reassignment Care Compare group NPD
• Robert T Dambach Jr., D.O.

  • Internal Medicine Physician
  • Sugarhill, GA
  • NPI 1538161252
  Medicare reassignment Care Compare group NPD
• Jorge Montero, FNP

  • Family Nurse Practitioner
  • Buford, GA
  • NPI 1457022147
  Medicare reassignment Care Compare group NPD
• Maira Ramirez Hansen

  • Physician Assistant
  • Buford, GA
  • NPI 1144937921
  Medicare reassignment Care Compare group
• Caitlyn Haygood, PA-C

  • Physician Assistant
  • Buford, GA
  • NPI 1225781818
  Medicare reassignment Care Compare group
• Mary Eva Ostaszewski, FNP-C

  • Family Nurse Practitioner
  • Sugar Hill, GA
  • NPI 1003013236
  Medicare reassignment Care Compare group
• Melissa Schweiker, NP-C

  • Family Nurse Practitioner
  • Buford, GA
  • NPI 1528408598
  Medicare reassignment NPD
• Justine Elodia Henao, D.O.

  • Internal Medicine Physician
  • Cumming, GA
  • NPI 1902808645
  NPD (past)

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208476800000",
    "number": "1528097318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 NELSON BROGDON BLVD",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305183480",
            "telephone_number": "770-945-1990",
            "fax_number": "678-745-4139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 NELSON BROGDON BLVD",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305183480",
            "telephone_number": "770-945-1990",
            "fax_number": "678-745-4139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI COUNTY INTERNAL MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2008-04-18",
        "status": "A",
        "authorized_official_last_name": "COKER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "770-945-1990",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Kroger Co
• The Teeth Doctor, LLC
• Autumn Janee Thomas, PAC
• Carla Ann Thomas, DDS
• TLC of Georgia LLC
• Minh Luong Trinh
• Vanessa Turner-Kareem, NP
• Jennifer Vanharte, PTA
• Vedic ABA LLC
• Jennifer Vega

• Internal Medicine Physician in Sugar Hill, GA
• Providers in Sugar Hill, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.