Active NPI
Nison H. Shleifer MD PA
- Internal Medicine Physician
- Atlanta, GA
National Provider Identifier
1528399045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 17298
- Legal business name
- NISON H. SHLEIFER MD PA
- Practice address
- 340 Boulevard NE
Suite 530
Atlanta, GA 30312-1273 - Phone
- (404) 524-6038
- NPI assigned
- Jan 22, 2010
- Last updated
- Jan 22, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Nison Howard Shleifer, MD
- Title
- President
- Phone
- (404) 524-6038
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 17298 | GA | Primary |
Addresses
Primary practice location
340 Boulevard NE
Suite 530
Atlanta, GA 30312-1273
Mailing address
340 Boulevard NE
Suite 530
Atlanta, GA 30312-1273
Phone (404) 524-6038
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00138036A | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
340 Boulevard NE
Ste 530
Atlanta, GA 30312
Phone (404) 524-6038
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264118400000",
"number": "1528399045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 BOULEVARD NE",
"address_2": "SUITE 530",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303121273",
"telephone_number": "404-524-6038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 BOULEVARD NE",
"address_2": "SUITE 530",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303121273",
"telephone_number": "404-524-6038"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NISON H. SHLEIFER MD PA",
"organizational_subpart": "NO",
"enumeration_date": "2010-01-22",
"last_updated": "2010-01-22",
"status": "A",
"authorized_official_last_name": "SHLEIFER",
"authorized_official_first_name": "NISON",
"authorized_official_middle_name": "HOWARD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "404-524-6038",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "GA",
"license": "17298",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00138036A",
"state": "GA"
}
],
"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 Jan 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.