Alpharetta Internal Medicine Associates, PC

Organization Active NPI Primary Care Clinic/Center · Roswell, GA

NPI 1770799702 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1770799702
Entity type
Organization (NPI type 2)
Primary specialty
Primary Care Clinic/Center 261QP2300X
Legal business name
ALPHARETTA INTERNAL MEDICINE ASSOCIATES, PC
Practice address
1380 Upper Hembree Rd
Roswell, GA 30076-1146
Phone
(770) 442-9016
NPI assigned
May 15, 2007
Organization subpart
No

Authorized official

Name
Mrs. Heidi Mabry
Title
Billing Manager
Phone
(770) 475-2377

Practitioners 9

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

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0720188Alpharetta Internal Medicine
1380 Upper Hembree Road, Roswell, GA 30076
Provider-performed microscopyJun 30, 2026

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20150817001577 GA Part B Supplier - Clinic/Group Practice 2769465103 Receives reassigned benefits from 7 practitioners
Practice locations: Roswell, GA

National Provider Directory

Locations

418 Pirkle Ferry Rd
Ste 105
Cumming, GA 30040
Phone (770) 475-2377

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X GA Yes

Addresses

Primary practice location

1380 Upper Hembree Rd
Roswell, GA 30076-1146

Mailing address

1380 Upper Hembree Rd
Roswell, GA 30076-1146
Phone (770) 442-9016

Other names

  • Cumming Internal Medicine Doing business as

Other providers in Roswell, GA

All providers in Roswell, GA · Primary Care Clinic/Center in Georgia

Sources for this page

Verify at the official NPI Registry.