Diabetes and Endocrinology Associates East

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

Legal business name

DIABETES AND ENDOCRINOLOGY ASSOCIATES EAST

Practice address

1501 Milstead Rd NE Ste 100
Conyers, GA 30012-3849

Phone

(770) 388-0118

Fax

(770) 388-9441

NPI assigned

Jun 12, 2019

Organization subpart

Yes

Parent organization

DIABETES AND ENDOCRINOLOGY ASSOCIATES, P.C.As reported in NPPES

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

Authorized official

Name

Dr. David H Jacobson, M.D.NPI 1487600748

Title

President

Phone

(404) 299-2223

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

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

CLIA laboratory certificates

Part of

Diabetes and Endocrinology Associates PC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Diabetes and Endocrinology Associates, P.C.

  • Specialist
  • Decatur, GA
  • NPI 1659433068
  NPPES parent name

Practitioners 20

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

• Meghana Bhatta Kumar, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Conyers, GA
  • NPI 1043639545

  Single Specialty

  Medicare reassignment NPD
• David H Jacobson, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Decatur, GA
  • NPI 1487600748
  NPD Authorized official
• Stephanie Joy Aten, NP-C, CNM

  • Family Nurse Practitioner
  • Decatur, GA
  • NPI 1760741904
  NPD (past)
• Abbey Morgan Baalerud, NP

  • Primary Care Nurse Practitioner
  • Decatur, GA
  • NPI 1720719818
  NPD (past)
• Darwin L Brown, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Decatur, GA
  • NPI 1992751259
  NPD (past)
• Martha Tallman Brumby, MSN,APRN-BC

  • Nurse Practitioner
  • Decatur, GA
  • NPI 1750445706
  NPD (past)
• Marjorie McElreath Davison

  • Family Nurse Practitioner
  • Decatur, GA
  • NPI 1285152132
  NPD (past)
• Shannon L Hill, PA

  • Medical Physician Assistant
  • Decatur, GA
  • NPI 1932467479
  NPD (past)
• Ana Maria Isaacs, FNP

  • Nurse Practitioner
  • Decatur, GA
  • NPI 1417688102
  NPD (past)
• Jay B. Mepani, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Decatur, GA
  • NPI 1174570378
  NPD (past)
• Anna Grace Miller

  • Physician Assistant
  • Decatur, GA
  • NPI 1205652799
  NPD (past)
• Nichole Kay Peanasky

  • Adult Health Nurse Practitioner
  • Decatur, GA
  • NPI 1578998878
  NPD (past)

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663632000000",
    "number": "1831758846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2665 N DECATUR RD STE 520",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300336146",
            "telephone_number": "404-299-2223",
            "fax_number": "404-297-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 MILSTEAD RD NE STE 100",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123849",
            "telephone_number": "770-388-0118",
            "fax_number": "770-388-9441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2665 N Decatur Rd Ste 520",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300336146",
            "country_code": "US",
            "telephone_number": "404-299-2223",
            "fax_number": "404-297-5003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DIABETES AND ENDOCRINOLOGY ASSOCIATES EAST",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIABETES AND ENDOCRINOLOGY ASSOCIATES, P.C.",
        "enumeration_date": "2019-06-12",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-299-2223",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Endocrinology, Diabetes & Metabolism Physician in Conyers, GA
• Providers in Conyers, GA by specialty
• Endocrinology, Diabetes & Metabolism Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.