Organization Active NPI

Alpharetta Internal Medicine Associates, PC

Doing business as Cumming Internal Medicine

  • Primary Care Clinic/Center
  • Roswell, GA
National Provider Identifier
1770799702
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
ALPHARETTA INTERNAL MEDICINE ASSOCIATES, PC
Doing business as
Cumming Internal Medicine
Practice address
1380 Upper Hembree Rd
Roswell, GA 30076-1146
Phone
(770) 442-9016
NPI assigned
May 15, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

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

Specialties & licenses 1

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

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 1

  • Cumming Internal Medicine Doing business as

Medicare participation

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

Enrollment records 1

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

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D0720188Alpharetta Internal Medicine1380 Upper Hembree Road, Roswell, GA 30076Provider-performed microscopyJun 30, 2026

National Provider Directory

National Provider Directory

Locations

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

950 Sanders Rd
Cumming, GA 30041
Phone (678) 455-6273

Practitioners & affiliated clinicians

Practitioners 9

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": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1770799702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1380 UPPER HEMBREE RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761146",
            "telephone_number": "770-442-9016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 UPPER HEMBREE RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761146",
            "telephone_number": "770-442-9016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHARETTA INTERNAL MEDICINE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2022-07-21",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "MABRY",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "770-475-2377",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cumming Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Cumming Internal Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.