Buckhead Internal Medicne

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

BUCKHEAD INTERNAL MEDICNE

Practice address

35 Collier Rd NW
Suite 150
Atlanta, GA 30309-1613

Phone

(404) 355-1966

NPI assigned

Nov 28, 2006

Organization subpart

No

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

Authorized official

Name

Judy Marczak

Title

Practice Administrator

Phone

(404) 355-1966

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 4

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

• Amy Mininberg, MD

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1740373893
  Medicare reassignment Care Compare group NPD
• Nan R Monahan, M.D.

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1184677031
  Medicare reassignment Care Compare group NPD
• Erica L. Peters, MD

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1225152044
  Medicare reassignment Care Compare group NPD
• Irina Supruniuk, PA - C

  • Physician Assistant
  • Atlanta, GA
  • NPI 1750494308
  NPD (past)

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1689740029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 COLLIER RD NW",
            "address_2": "SUITE 150",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091613",
            "telephone_number": "404-355-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 COLLIER RD NW",
            "address_2": "SUITE 150",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091613",
            "telephone_number": "404-355-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKHEAD INTERNAL MEDICNE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MARCZAK",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "404-355-1966"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Buckhead Facial Plastic Surgery
• Buckhead Facial Plastic Surgery Center
• Buckhead Foot & Ankle PC
• Buckhead Injury and Wellness Institute PC
• Buckhead Institute of Medicine & Rehabilitation Inc.
• Buckhead Medical LLC Dba Northalke Medical Group
• Buckhead Medical Solutions
• Buckhead Mohs Surgical Center LLC
• Buckhead Optics LLC
• Buckhead Periodontics, P.C.

• 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 Jul 21, 2022; 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.