North Atlanta Medical Clinic, L.L.C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

063092 Issued in GA

Legal business name

NORTH ATLANTA MEDICAL CLINIC, L.L.C

Practice address

3664 Club Drive,
Suite 201
Lawrenceville, GA 30044

Phone

(678) 380-8433

Fax

(678) 380-8437

NPI assigned

Feb 18, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Victorine Mafoueka Nguena, M.DNPI 1376717504

Title

Physician

Phone

(770) 314-9245

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• Victorine Mafoueka Nguena, M.D

  • Internal Medicine Physician
  • Lawrenceville, GA
  • NPI 1376717504
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266451200000",
    "number": "1700108784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 LITTLE RIVER DRIVE",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "30024",
            "telephone_number": "678-380-8433",
            "fax_number": "678-380-8437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3664 CLUB DRIVE,",
            "address_2": "SUITE 201",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "30044",
            "telephone_number": "678-380-8433",
            "fax_number": "678-380-8437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ATLANTA MEDICAL CLINIC, L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-02-18",
        "status": "A",
        "authorized_official_last_name": "MAFOUEKA NGUENA",
        "authorized_official_first_name": "VICTORINE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "770-314-9245",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "063092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaylen Nora
• Timothy Howard Norman, RPH
• Alexandra Frances Norris, MSN, FNP-C
• Kenneth L Norris, P.A.
• North Atlanta Endocrinology and Diabetes, PC
• North Atlanta Neurological Services, LLC
• North Atlanta Oncology Services LLC
• North Atlanta Podiatry Group P.C.
• North Atlanta Urology Assoc PC
• North Atlanta Urology Assoc PC

• Internal Medicine Physician in Lawrenceville, GA
• Providers in Lawrenceville, 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 Feb 18, 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.

Verify at the official NPI Registry.