Atlanta I.D. Group, PC
Organization Active NPI Infectious Disease Physician · Atlanta, GA
NPI 1699805697 · NPPES record last updated Dec 5, 2024
Key facts
- NPI
- 1699805697
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Infectious Disease Physician 207RI0200X
- License
- 36328 (GA)
- Legal business name
- ATLANTA I.D. GROUP, PC
- Practice address
- 275 Collier Rd NW
Suite 450
Atlanta, GA 30309-1709 - Phone
- (404) 351-8873
- Fax
- (404) 355-6165
- NPI assigned
- Mar 7, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Christine Ann Zurawski, M.D.
- Title
- Partner
- Phone
- (404) 351-8873
Practitioners 25
-
Jesse William Couk, M.D.
-
Lee A Diamond, M.D.
-
Gweneth Malicia Francis, D.O.
-
Kelly Lumpkins, M.D.
-
Samuel Parks, MD, MSPH
-
Mukul Vasant Patharkar, M.D.
-
Richard Prokesch, M.D.
-
Ishita Sheth, MD
-
Richard Lowell Hengel, M.D.
-
Michelle Suzanne Jones, M.D.
-
Erin Vise, MSN, APRN, FNP-C
-
Steven Christopher Barton, PA-C, MMSC
-
Kathryn Folkner Odom, PA-C
-
Ashley Lauren Patrick, PA-C
-
Dana Michelle Urban-Thropp, PA-C, MPH
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101227000096 | GA | Part B Supplier - Clinic/Group Practice | 9638120231 |
Receives reassigned benefits from 25 practitioners Practice locations: Atlanta, GA; Fayetteville, GA; Stockbridge, GA |
National Provider Directory
Locations
35 Collier Rd NW
Ste M245
Atlanta, GA 30309
Phone (404) 351-8873
1255 Highway 54 W
Ste 201
Fayetteville, GA 30214
1265 Highway 54 W
Ste 500C
Fayetteville, GA 30214
Phone (678) 435-3040
1365 Rock Quarry Rd
#302304
Stockbridge, GA 30281
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician |
207RI0200X | 36328 | GA | Yes |
Addresses
Primary practice location
275 Collier Rd NW
Suite 450
Atlanta, GA 30309-1709
Mailing address
275 Collier Rd NW
Suite 450
Atlanta, GA 30309-1709
Phone (404) 351-8873
Other practice location 1
1265 Highway 54 W Ste 500C
Fayetteville, GA 30214-4537
Phone (678) 435-3040
Other practice location 2
1365 Rock Quarry Rd Ste 302
Stockbridge, GA 30281-5024
Phone (770) 991-1500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 133771305A | Medicaid | GA | |
| 598447 | Other | GA | BCBS |
Other names
- Infectious Disease Solutions, PC
Other providers in Atlanta, GA
- Atlanta Host Services
- Atlanta House Health Care LLC
- Atlanta House Healthcare Services
- Atlanta Human Performance Center
- Atlanta I.D. Group, P.C.
- Atlanta Infectious Disease Specialists PC
- Atlanta Institute for ENT PC
- Atlanta Institute for Family Studies
- Atlanta Institute of Family Services, Inc.
- Atlanta Institute of Medicine and Rehabilitation
All providers in Atlanta, GA · Infectious Disease Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.