Geriatric Medicine of Atlanta

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

License

48998 Issued in GA

Legal business name

GERIATRIC MEDICINE OF ATLANTA

Practice address

1019 Winding Ridge CT
Atlanta, GA 30338-3949

Phone

(770) 888-2524

Fax

(770) 888-2510

NPI assigned

Nov 20, 2007

Organization subpart

No

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

Authorized official

Name

Mounir Darradji, MDNPI 1649382060

Title

President

Phone

(770) 888-2524

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Mounir Darradji, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Atlanta, GA
  • NPI 1649382060
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214956800000",
    "number": "1710168539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3253",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300233253",
            "telephone_number": "770-888-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 WINDING RIDGE CT",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303383949",
            "telephone_number": "770-888-2524",
            "fax_number": "770-888-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC MEDICINE OF ATLANTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-20",
        "last_updated": "2008-07-02",
        "status": "A",
        "authorized_official_last_name": "DARRADJI",
        "authorized_official_first_name": "MOUNIR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-888-2524",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "GA",
            "license": "48998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110228627",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maryrose A Gerardi, PHD
• Drew Gertzog Gerber
• Kristina Gerencser, BCBA-D
• Leah Levene Gerendash, PA
• Eric Andrew Gerhart, PHARMD.
• Sabrina Aleezah Gerkowicz, M.D.
• Casey Germain
• Matthew Germain
• Jacob Macauley Germany
• Melanie Roberts Germany, RPH

• Geriatric Medicine (Internal Medicine) Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Geriatric Medicine (Internal Medicine) Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.