Midtown West Medical, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

GA32213 Issued in GA

Legal business name

MIDTOWN WEST MEDICAL, PC

Practice address

957 W Marietta St NW
Atlanta, GA 30318-5282

Phone

(404) 817-0062

Fax

(404) 817-0064

NPI assigned

Dec 15, 2006

Last updated

Aug 29, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimball A Johnson, M.D.NPI 1568464063

Title

Owner

Phone

(404) 817-0062

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, and the practitioner matching its NPPES authorized official.

• Kimball Anne Johnson, MD

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1568464063
  Authorized official Same address or phone

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346198400000",
    "number": "1689736654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "957 W MARIETTA ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303185282",
            "telephone_number": "404-817-0062",
            "fax_number": "404-817-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "957 W MARIETTA ST NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303185282",
            "telephone_number": "404-817-0062",
            "fax_number": "404-817-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDTOWN WEST MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2012-08-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KIMBALL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-817-0062",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "GA32213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Midtown Surgical Associates, Inc
• Midtown Urology Anesthesia LLC
• Midtown Urology PC
• Midtown Urology Surgical Center, PC
• Midtown Wellness Group, Inc.
• Midwest Compression, LLC
• Midwest Medical Associates, Inc.
• Midwest Medical DME Enterprises, LLC
• Midwest Medical DME Services, LLC
• Midwest Medical Enterprises, LLC

• Internal Medicine Physician in Atlanta, GA
• Providers in Atlanta, 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 Aug 29, 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.