Active NPI
David Joseph Malebranche, M.D., M.P.H
- Internal Medicine Physician
- East Point, GA
National Provider Identifier
1649365644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 50223
- Practice address
- 1513 Cleveland Ave Ste 500B
East Point, GA 30344-6949 - Phone
- (404) 756-1241
- Fax
- (404) 756-1237
- NPI assigned
- Oct 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 209103 | NY | |
| Internal Medicine Physician | 207R00000X | 50223 | GA | Primary |
Addresses
Primary practice location
1513 Cleveland Ave Ste 500B
East Point, GA 30344-6949
Mailing address
171 Auburn Ave NE Unit 329
Atlanta, GA 30303-2556
Phone (404) 291-1739
Other practice location 1
830 Westview Dr SW
Atlanta, GA 30314-3773
Phone (470) 639-0999
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000909213A | Medicaid | GA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 50223 | GA | MD | Internal Medicine Physician |
| 209103 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morehouse Healthcare, Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Student in an Organized Health Care Education/Training Program
- Atlanta, GA
- NPI 1285137927
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1649365644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 AUBURN AVE NE UNIT 329",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303032556",
"telephone_number": "404-291-1739",
"fax_number": "404-756-1237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1513 CLEVELAND AVE STE 500B",
"city": "EAST POINT",
"state": "GA",
"postal_code": "303446949",
"telephone_number": "404-756-1241",
"fax_number": "404-756-1237"
}
],
"practiceLocations": [
{
"address_1": "830 Westview Dr SW",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303143773",
"country_code": "US",
"telephone_number": "470-639-0999",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MALEBRANCHE",
"first_name": "DAVID",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D., M.P.H",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-04",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "209103",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "GA",
"license": "50223",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000909213A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Point, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.