Organization Active NPI

Community Medical Care

  • Internal Medicine Physician
  • Duluth, GA
National Provider Identifier
1740528785
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
059750 Issued in GA
Legal business name
COMMUNITY MEDICAL CARE
Practice address
3215 McClure Bridge Rd
Duluth, GA 30096-3223
Phone
(770) 539-4187
NPI assigned
Jan 25, 2013
Last updated
Apr 14, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Authorized official

Name
Dr. Maria Juliana Roca Martinez, MD
Title
President
Phone
(770) 539-4187

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 059750 GA Primary

Addresses

Primary practice location

3215 McClure Bridge Rd
Duluth, GA 30096-3223

Mailing address

1856 Thompson Bridge Rd Ste 5
Gainesville, GA 30501-1663
Phone (770) 539-4187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160216002798 GA Part B Supplier - Clinic/Group Practice 6901101757 Receives reassigned benefits from 1 practitioner
Practice locations: Gainesville, GA

National Provider Directory

National Provider Directory

Locations

1856 Thompson Bridge Rd
Ste 105
Gainesville, GA 30501
Phone (770) 535-0365

1856 Thompson Bridge Rd
Ste 5
Gainesville, GA 30501
Phone (770) 538-6010

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1359072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649894400000",
    "number": "1740528785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1856 THOMPSON BRIDGE RD STE 5",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305011663",
            "telephone_number": "770-539-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 MCCLURE BRIDGE RD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300963223",
            "telephone_number": "770-539-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-25",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A",
        "authorized_official_last_name": "ROCA MARTINEZ",
        "authorized_official_first_name": "MARIA JULIANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-539-4187",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "059750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.