Georgia Internal Medicine Care Associates

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

32087 Issued in GA

Legal business name

GEORGIA INTERNAL MEDICINE CARE ASSOCIATES

Practice address

5900 Hillandale Dr
Suite 230
Lithonia, GA 30058-3802

Phone

(478) 475-1299

Fax

(478) 405-7928

NPI assigned

Dec 4, 2006

Organization subpart

No

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

Authorized official

Name

Eddie Whitehead, MDNPI 1669516795

Title

Doctor

Phone

(478) 475-1299

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eddie L Whitehead, MD

  • Internal Medicine Physician
  • Tucker, GA
  • NPI 1669516795
  NPD (past) Authorized official

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326153600000",
    "number": "1679631709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26040",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312216040",
            "telephone_number": "478-475-1299",
            "fax_number": "478-405-7928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 HILLANDALE DR",
            "address_2": "SUITE 230",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300583802",
            "telephone_number": "478-475-1299",
            "fax_number": "478-405-7928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA INTERNAL MEDICINE CARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2012-01-10",
        "status": "A",
        "authorized_official_last_name": "WHITEHEAD",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "478-475-1299",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "32087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2012; 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.