NPIMap

Organization Active NPI

North Georgia Physical Medicine

  • General Practice Physician
  • Cumming, GA
National Provider Identifier
1629586698
Registry record updated Jan 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
NORTH GEORGIA PHYSICAL MEDICINE
Practice address
6030 Bethelview Rd Ste 502
Cumming, GA 30040-8025
Phone
(770) 888-8292
Fax
(770) 888-9858
NPI assigned
Jan 12, 2018
Last updated
Jan 12, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2018

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

Authorized official

Name
John DemboskiNPI 1083830293
Title
Owner
Phone
(770) 888-8292

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
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

6030 Bethelview Rd Ste 502
Cumming, GA 30040-8025

Mailing address

6030 Bethelview Rd Ste 502
Cumming, GA 30040-8025
Phone (770) 888-8292

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1515715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515715200000",
    "number": "1629586698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6030 BETHELVIEW RD STE 502",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300408025",
            "telephone_number": "770-888-8292",
            "fax_number": "770-888-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6030 BETHELVIEW RD STE 502",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300408025",
            "telephone_number": "770-888-8292",
            "fax_number": "770-888-9858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH GEORGIA PHYSICAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-12",
        "last_updated": "2018-01-12",
        "status": "A",
        "authorized_official_last_name": "DEMBOSKI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-888-8292"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; 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.