Atlanta I.D. Group, P.C.

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

ATLANTA I.D. GROUP, P.C.

Practice address

1265 Highway 54 W Ste 500C
Fayetteville, GA 30214-4537

Phone

(678) 435-3040

Fax

(678) 435-3044

NPI assigned

Mar 29, 2018

Organization subpart

No

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

Authorized official

Name

Carol Lynn Hopper

Title

Practice Adminsitrator

Phone

(770) 883-7960

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Infectious Disease Solutions Doing business as

Tax ID family

Joel Rosenstock MD PC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Atlanta I.D. Group, P.C.

  • Infectious Disease Physician
  • Atlanta, GA
  • NPI 1619944279
  NPD tax ID
• Atlanta Id Group, P.C.

  • Pharmacy
  • Fayetteville, GA
  • NPI 1548767619
  NPD tax ID

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1649775792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 COLLIER RD NW STE 450",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091748",
            "telephone_number": "404-355-3161",
            "fax_number": "404-355-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 HIGHWAY 54 W STE 500C",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144537",
            "telephone_number": "678-435-3040",
            "fax_number": "678-435-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA I.D. GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-29",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "HOPPER",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRACTICE ADMINSITRATOR",
        "authorized_official_telephone_number": "770-883-7960"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300033798C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Infectious Disease Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Infectious Disease Physician in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Infectious Disease Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.