Organization Active NPI

North Fulton General Surgery, PC

  • Surgery Physician
  • Roswell, GA
National Provider Identifier
1679757413
Registry record updated Mar 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
25166 Issued in GA
Legal business name
NORTH FULTON GENERAL SURGERY, PC
Practice address
2500 Hospital Blvd Ste 150
Roswell, GA 30076-4976
Phone
(770) 442-3117
Fax
(770) 442-3718
NPI assigned
Dec 27, 2007
Last updated
Mar 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2024

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

Authorized official

Name
Dr. Alan Lee Goldman, MDNPI 1326124330
Title
President
Phone
(770) 442-3117

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 25166 GA Primary

Addresses

Primary practice location

2500 Hospital Blvd Ste 150
Roswell, GA 30076-4976

Mailing address

2500 Hospital Blvd Ste 150
Roswell, GA 30076-4976
Phone (770) 442-3117

Other practice location 1

1505 Northside Blvd Ste 3400
Cumming, GA 30041-8223
Phone (770) 442-3117

Other practice location 2

6105 Peachtree Dunwoody Rd Ste C245
Sandy Springs, GA 30328-5911
Phone (770) 442-3117

Other practice location 3

4298 Atlanta Road SE
Suite 320
Smyrna, GA 30080
Phone (770) 442-3117

Other practice location 4

600 Professional Dr Ste 130
Lawrenceville, GA 30046-7638
Phone (770) 442-3117

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address agoldman@AlanGoldman.drchronodirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040603000068 GA Part B Supplier - Clinic/Group Practice 9234111360 Receives reassigned benefits from 2 practitioners
Practice locations: Atlanta, GA; Cumming, GA; Lawrenceville, GA; Roswell, GA

National Provider Directory

National Provider Directory

Locations

2784 N Decatur Rd
Ste 150
Decatur, GA 30033
Phone (404) 298-6050

6105 Peachtree Dunwoody Rd
Ste 245
Sandy Springs, GA 30328
Phone (770) 442-3117

6105 Peachtree Dunwoody Rd
Ste C245
Sandy Springs, GA 30328
Phone (770) 394-0007

Interoperability endpoints

  • Direct secure messaging: agoldman@alangoldman.drchronodirect.com

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1198713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709510400000",
    "number": "1679757413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 HOSPITAL BLVD STE 150",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764976",
            "telephone_number": "770-442-3117",
            "fax_number": "770-442-3718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HOSPITAL BLVD STE 150",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764976",
            "telephone_number": "770-442-3117",
            "fax_number": "770-442-3718"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1505 Northside Blvd Ste 3400",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300418223",
            "country_code": "US",
            "telephone_number": "770-442-3117",
            "fax_number": "678-701-1722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6105 Peachtree Dunwoody Rd Ste C245",
            "address_purpose": "LOCATION",
            "city": "Sandy Springs",
            "state": "GA",
            "postal_code": "303285911",
            "country_code": "US",
            "telephone_number": "770-442-3117",
            "fax_number": "678-701-1722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4298 Atlanta Road SE",
            "address_2": "Suite 320",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "GA",
            "postal_code": "30080",
            "country_code": "US",
            "telephone_number": "770-442-3117",
            "fax_number": "678-701-1722",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Professional Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300467638",
            "country_code": "US",
            "telephone_number": "770-442-3117",
            "fax_number": "678-701-1722",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NORTH FULTON GENERAL SURGERY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-27",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-02",
        "status": "A",
        "authorized_official_last_name": "GOLDMAN",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-442-3117",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "GA",
            "license": "25166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agoldman@AlanGoldman.drchronodirect.com",
            "affiliation": "N",
            "endpointDescription": "EMR Direct Message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2500 Hospital Blvd Ste 150",
            "city": "Roswell",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300764976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.