Organization Active NPI

North Georgia Internal Medicine, PC

Doing business as North Georgia Osteoporosis Center

  • Internal Medicine Physician
  • Woodstock, GA
National Provider Identifier
1619996907
Registry record updated Feb 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
NORTH GEORGIA INTERNAL MEDICINE, PC
Doing business as
North Georgia Osteoporosis Center
Practice address
1192 Buckhead Xing
Suite E
Woodstock, GA 30189-4254
Phone
(678) 494-4450
Fax
(678) 494-6265
NPI assigned
Jul 18, 2006
Last updated
Feb 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2018

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

Authorized official

Name
Dr. Bram Wieskopf, MDNPI 1164472577
Title
President
Phone
(678) 494-4450

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

1192 Buckhead Xing
Suite E
Woodstock, GA 30189-4254

Mailing address

1192 Buckhead Xing
Suite E
Woodstock, GA 30189-4254
Phone (678) 494-4450

Other names 1

  • North Georgia Osteoporosis Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040402000490 GA Part B Supplier - Clinic/Group Practice 0446242903 Receives reassigned benefits from 8 practitioners
Practice locations: Woodstock, GA; Marietta, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1002448North Georgia Internal Medicine PC1192 Buckhead Crossing, Woodstock, GA 30189Certificate of waiverAug 6, 2026

National Provider Directory

National Provider Directory

Locations

300 Tower Rd NE
Ste 160
Marietta, GA 30060
Phone (678) 738-1470

1192 Buckhead Xing
Ste E
Woodstock, GA 30189
Phone (678) 494-4450

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20065/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 8

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": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517443200000",
    "number": "1619996907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1192 BUCKHEAD XING",
            "address_2": "SUITE E",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301894254",
            "telephone_number": "678-494-4450",
            "fax_number": "678-494-6265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1192 BUCKHEAD XING",
            "address_2": "SUITE E",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301894254",
            "telephone_number": "678-494-4450",
            "fax_number": "678-494-6265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH GEORGIA INTERNAL MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2018-02-01",
        "status": "A",
        "authorized_official_last_name": "WIESKOPF",
        "authorized_official_first_name": "BRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-494-4450",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Georgia Osteoporosis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.