Organization Active NPI

Apollo Medical Care, P.C.

  • Internal Medicine Physician
  • Duluth, GA
National Provider Identifier
1679640056
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
056466 Issued in GA
Legal business name
APOLLO MEDICAL CARE, P.C.
Practice address
6325 W Johns Xing
Building 1000, Suite 301
Duluth, GA 30097-1530
Phone
(770) 623-3056
Fax
(770) 623-3057
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Deepa Nagarajan, M.D.
Title
President
Phone
(770) 623-3056

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 056466 GA Primary

Addresses

Primary practice location

6325 W Johns Xing
Building 1000, Suite 301
Duluth, GA 30097-1530

Mailing address

6325 W Johns Xing
Building 1000, Suite 301
Duluth, GA 30097-1530
Phone (770) 623-3056

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679640056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 W JOHNS XING",
            "address_2": "BUILDING 1000, SUITE 301",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300971530",
            "telephone_number": "770-623-3056",
            "fax_number": "770-623-3057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 W JOHNS XING",
            "address_2": "BUILDING 1000, SUITE 301",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300971530",
            "telephone_number": "770-623-3056",
            "fax_number": "770-623-3057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO MEDICAL CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NAGARAJAN",
        "authorized_official_first_name": "DEEPA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-623-3056",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "056466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.