Individual provider Active NPI

Alberto Reinaldo Alam-Gonzalez, M.D.

  • General Practice Physician
  • Smyrna, GA
National Provider Identifier
1609909373
Registry record updated Jan 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
025407 Issued in GA
Practice address
2721 S Cobb Dr SE
Smyrna, GA 30080-3240
Phone
(770) 444-9494
Fax
(770) 436-4656
NPI assigned
Mar 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 025407 GA
General Practice Physician 208D00000X 025407 GA Primary

Addresses

Primary practice location

2721 S Cobb Dr SE
Smyrna, GA 30080-3240

Mailing address

2721 S Cobb Dr SE
Smyrna, GA 30080-3240
Phone (770) 444-9494

Other names 1

  • Alberto Reinaldo Alam Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
025407GAMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263340800000",
    "number": "1609909373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 S COBB DR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300803240",
            "telephone_number": "770-444-9494",
            "fax_number": "770-436-4656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 S COBB DR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300803240",
            "telephone_number": "770-444-9494",
            "fax_number": "770-436-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALAM-GONZALEZ",
        "first_name": "ALBERTO",
        "middle_name": "REINALDO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-13",
        "last_updated": "2010-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "025407",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "025407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALBERTO",
            "last_name": "ALAM",
            "middle_name": "REINALDO",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.

Verify at the official NPI Registry.