Choicemed Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

72065 Issued in GA

Legal business name

CHOICEMED INC

Practice address

3545 Cruse Rd Ste 100
Lawrenceville, GA 30044-3169

Phone

(770) 544-8008

Fax

(770) 544-8271

NPI assigned

Jan 2, 2018

Organization subpart

No

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

Authorized official

Name

Sharon Selena Duncan

Title

Credentialing Specialist

Phone

(678) 656-7203

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514851200000",
    "number": "1669989422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 CRUSE RD STE 100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300443169",
            "telephone_number": "770-544-8008",
            "fax_number": "770-544-8271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 CRUSE RD STE 100",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300443169",
            "telephone_number": "770-544-8008",
            "fax_number": "770-544-8271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICEMED INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-02",
        "last_updated": "2018-01-02",
        "status": "A",
        "authorized_official_last_name": "DUNCAN",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "SELENA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "678-656-7203"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "72065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haeseon Cho
• Julia Miyoung Choe, NP-C
• Gobong Choi, RPH
• Hong Jun Choi
• Jusong Choi, MD
• Choices for Life of Georgia, LLC
• Da Chong, NP
• Nimra Choudhry, DO
• Mudit Chowdhary, MD
• Rachel Elizabeth Christian, PH.D.

• Family Medicine Physician in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.