Greater Atlanta MD Inc

Primary specialty

Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X

Legal business name

GREATER ATLANTA MD INC

Practice address

301 Gwinnett Dr Ste D
Lawrenceville, GA 30046-5670

Phone

(678) 841-5240

Fax

(404) 759-2694

NPI assigned

Oct 7, 2019

Organization subpart

No

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

Authorized official

Name

Falahat Ali Farooqui, MDNPI 1447693056

Title

Ceo/President

Phone

(678) 333-5396

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 4

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

• Falahat Ali Farooqui, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Watkinsville, GA
  • NPI 1447693056
  Medicare reassignment NPD Authorized official
• Jagruti Chaudhari, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Duluth, GA
  • NPI 1992245591
  NPD
• Jasmine Nicole Munroe, PHMNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Norcross, GA
  • NPI 1356882534
  NPD
• Julia J Waller, LCSW

  • Clinical Social Worker
  • Loganville, GA
  • NPI 1588964795
  NPD

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1760023121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 681",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300460681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 GWINNETT DR STE D",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300465670",
            "telephone_number": "678-841-5240",
            "fax_number": "404-759-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER ATLANTA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-07",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "FAROOQUI",
        "authorized_official_first_name": "FALAHAT",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "678-333-5396",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Armacost Gray, AGACNP
• Robert Edward Gray Jr.
• Grayson Family Dental Care, LLC
• Raynel Grayson, LCSW
• Great Days Private Care Inc.
• Tal Dvora Greber, MD
• Victor Greco, D.C.
• Green Outcome Telehealth
• Cierra Green, FNP-C
• Dee A Green, RN, BSN, MN

• Geriatric Medicine (Internal Medicine) Physician in Lawrenceville, GA
• Providers in Lawrenceville, 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 Oct 5, 2021; 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.