Organization Active NPI

Lost Mountain Internal Medicine, LLC

  • Internal Medicine Physician
  • Powder Springs, GA
National Provider Identifier
1578736286
Registry record updated Apr 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
LOST MOUNTAIN INTERNAL MEDICINE, LLC
Practice address
5041 Dallas Hwy
BLDG 1, Suite H
Powder Springs, GA 30127-6458
Phone
(770) 874-0692
Fax
(770) 874-0696
NPI assigned
Apr 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2008

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

Authorized official

Name
Dr. Alacia Tarpley, M.D.NPI 1710010897
Title
Member
Phone
(770) 874-0692

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

5041 Dallas Hwy
BLDG 1, Suite H
Powder Springs, GA 30127-6458

Mailing address

5041 Dallas Hwy
BLDG 1, Suite H
Powder Springs, GA 30127-6458
Phone (770) 874-0692

National Provider Directory

National Provider Directory

Locations

5041 Dallas Hwy
Bldg 1
Powder Springs, GA 30127
Phone (770) 405-0391

5200 Dallas Hwy
Ste 200
Powder Springs, GA 30127

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": "1207180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207180800000",
    "number": "1578736286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5041 DALLAS HWY",
            "address_2": "BLDG 1, SUITE H",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301276458",
            "telephone_number": "770-874-0692",
            "fax_number": "770-874-0696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5041 DALLAS HWY",
            "address_2": "BLDG 1, SUITE H",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301276458",
            "telephone_number": "770-874-0692",
            "fax_number": "770-874-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOST MOUNTAIN INTERNAL MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-03",
        "last_updated": "2008-04-03",
        "status": "A",
        "authorized_official_last_name": "TARPLEY",
        "authorized_official_first_name": "ALACIA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "770-874-0692",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Powder Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; 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.