Individual provider Active NPI

Dave Wei-Huie Ou, MD

  • Internal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1548355274
Registry record updated Jan 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
044299 Issued in GA
Practice address
2200 Century Pkwy NE Ste 120
Atlanta, GA 30345-3103
Phone
(404) 418-6010
Fax
(404) 418-6011
NPI assigned
Oct 4, 2006
Last updated
Jan 26, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 044299 GA Primary

Addresses

Primary practice location

2200 Century Pkwy NE Ste 120
Atlanta, GA 30345-3103

Mailing address

2200 Century Pkwy NE Ste 120
Atlanta, GA 30345-3103
Phone (404) 418-6010

Other identifiers 1

IdentifierTypeStateIssuer
00845072AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070125000287 GA Practitioner - Internal Medicine 4981605433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
044299GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Internal Medicine Associates of Rockdale PC Internal Medicine Current Accepting new patients

Locations

1301 Wellbrook Cir NE
Conyers, GA 30012
Phone (404) 922-3023

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1548355274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 CENTURY PKWY NE STE 120",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453103",
            "telephone_number": "404-418-6010",
            "fax_number": "404-418-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 CENTURY PKWY NE STE 120",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453103",
            "telephone_number": "404-418-6010",
            "fax_number": "404-418-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OU",
        "first_name": "DAVE",
        "middle_name": "WEI-HUIE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "044299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00845072A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.