Active NPI
Starr'S Mill Internal Medicine, LLC
- Internal Medicine Physician
- Fayetteville, GA
National Provider Identifier
1689724809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- STARR'S MILL INTERNAL MEDICINE, LLC
- Practice address
- 1330 Highway 74
May House
Fayetteville, GA 30215-2950 - Phone
- (770) 631-2502
- Fax
- (770) 631-2503
- NPI assigned
- Jan 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anthony F Lawson, M.D.
- Title
- President
- Phone
- (770) 631-2502
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | GA | Primary | |
| Pediatrics Physician | 208000000X | GA |
Addresses
Primary practice location
1330 Highway 74
May House
Fayetteville, GA 30215-2950
Mailing address
1330 Highway 74
May House
Fayetteville, GA 30215-2950
Phone (770) 631-2502
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC7883 | Other | GA | RAILROAD MEDICARE GRP # |
| 11D0983347 | Other | GA | CLIA # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1330 Highway 74
Fayetteville, GA 30215
Phone (770) 631-2502
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Fayetteville, GA
- NPI 1336257831
-
- Internal Medicine Physician
- Fayetteville, GA
- NPI 1558459768
-
- Family Medicine Physician
- Fayetteville, GA
- NPI 1922036607
-
- Physician Assistant
- Fayetteville, GA
- NPI 1912581885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1268956800000",
"number": "1689724809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1330 HIGHWAY 74",
"address_2": "MAY HOUSE",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302152950",
"telephone_number": "770-631-2502",
"fax_number": "770-631-2503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 HIGHWAY 74",
"address_2": "MAY HOUSE",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302152950",
"telephone_number": "770-631-2502",
"fax_number": "770-631-2503"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STARR'S MILL INTERNAL MEDICINE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-11",
"last_updated": "2010-03-19",
"status": "A",
"authorized_official_last_name": "LAWSON",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-631-2502",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "GA",
"license": null,
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "GA",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GRP #",
"identifier": "DC7883",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA #",
"identifier": "11D0983347",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; 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.