Metamorphosis Medical Group

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

044520 Issued in GA

Legal business name

METAMORPHOSIS MEDICAL GROUP

Practice address

1792 Woodstock Rd
BLDG 300
Roswell, GA 30075-2199

Phone

(678) 218-1710

Fax

(678) 218-1714

NPI assigned

Mar 29, 2011

Last updated

Mar 29, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Deborah Lyn Levich, MDNPI 1376643908

Title

Ceo

Phone

(678) 218-1710

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Deborah Lyn Levich, MD

  • Gynecology Physician
  • Roswell, GA
  • NPI 1376643908
  NPD (past) Authorized official
• Karen J Weiss, M.D.

  • Gynecology Physician
  • Roswell, GA
  • NPI 1477536076
  NPD (past)

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1538458690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1792 WOODSTOCK RD",
            "address_2": "BLDG 300",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752199",
            "telephone_number": "678-218-1710",
            "fax_number": "678-218-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1792 WOODSTOCK RD",
            "address_2": "BLDG 300",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752199",
            "telephone_number": "678-218-1710",
            "fax_number": "678-218-1714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METAMORPHOSIS MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "LEVICH",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "LYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-218-1710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "GA",
            "license": "044520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Monroe Merriam, L.P.C.
• Linda Kay Merrion, LPC, LMFT
• Joseph Marvin Merritt, DMD
• Nancy Jo Messner, APC
• Meta Heatlh & Vascular LLC
• Walaya Chiyem Methodius-Rayford, MD
• Meticulous Health Solutions LLC
• Metro Music Makers, Inc
• Lisa Hahamovitch Meyer, PSY.D.
• Michael Byler, LPC

• Medical Specialty Clinic/Center in Roswell, GA
• Providers in Roswell, GA by specialty
• Medical Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.