Organization Active NPI

McDonough Internal Medicine

  • Internal Medicine Physician
  • McDonough, GA
National Provider Identifier
1609907559
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
052319 Issued in GA
Legal business name
MCDONOUGH INTERNAL MEDICINE
Practice address
382 Racetrack Road
McDonough, GA 30252
Phone
(770) 957-3535
Fax
(770) 957-9066
NPI assigned
Mar 9, 2007
Last updated
Apr 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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

Authorized official

Name
Poonam Ramani, MDNPI 1033111349
Title
MD
Phone
(678) 571-3113

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 052319 GA Primary

Addresses

Primary practice location

382 Racetrack Road
McDonough, GA 30252

Mailing address

134 Bayberry HLS
McDonough, GA 30253-4005
Phone (678) 571-3113

National Provider Directory

National Provider Directory

Locations

374 Racetrack Rd
McDonough, GA 30252
Phone (470) 317-3855

382 Racetrack Rd
McDonough, GA 30252
Phone (678) 205-5437

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209340800000",
    "number": "1609907559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 BAYBERRY HLS",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534005",
            "telephone_number": "678-571-3113",
            "fax_number": "770-507-8383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 RACETRACK ROAD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "30252",
            "telephone_number": "770-957-3535",
            "fax_number": "770-957-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDONOUGH INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2008-04-28",
        "status": "A",
        "authorized_official_last_name": "RAMANI",
        "authorized_official_first_name": "POONAM",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "678-571-3113",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "052319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.