Golden Triangle Internal Medicine PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

GOLDEN TRIANGLE INTERNAL MEDICINE PA

Practice address

3080 Milam St
Beaumont, TX 77701-4828

Phone

(409) 347-3621

Fax

(409) 860-9078

NPI assigned

Apr 15, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Charlotte Levine, VPMM,CEO,CFO,COO

Title

Authorized Official

Phone

(409) 347-3621

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AGCCAA

Practitioners 4

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

• Syed Muhammad Ali Ahmed Jilani, MD

  • Internal Medicine Physician
  • Vidor, TX
  • NPI 1992383608

  Internal Medicine, TX

  Medicare reassignment NPD
• Msonthi B Levine, MD

  • Internal Medicine Physician
  • Beaumont, TX
  • NPI 1962430413

  Internal Medicine, TX

  Medicare reassignment NPD
• Lindsey Hullett Brown, APRN

  • Acute Care Nurse Practitioner
  • Beaumont, TX
  • NPI 1033634514

  Internal Medicine

  NPD (past)
• Christine S Jackson, NP-C

  • Family Nurse Practitioner
  • Beaumont, TX
  • NPI 1972921500
  NPD (past)

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1750135950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5328",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777265328",
            "telephone_number": "409-347-3621",
            "fax_number": "409-860-9078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 MILAM ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014828",
            "telephone_number": "409-347-3621",
            "fax_number": "409-860-9078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN TRIANGLE INTERNAL MEDICINE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "409-347-3621",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "VPMM,CEO,CFO,COO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden Haven Assisted Living LLC
• Golden Traingle Living Centers Inc
• Golden Triangle ABA Services, LLC
• Golden Triangle Emergency Physicians
• Golden Triangle Foot & Ankle Specialists, P.a.
• Golden Triangle Interventional Pain Associates LLC
• Golden Triangle Living Center, Inc
• Golden Triangle Living Centers Inc
• Golden Triangle Living Centers Inc
• Golden Triangle Living Centers Inc

• All providers in Beaumont, TX
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.