Active NPI
Snellville Medical Group, P.C.
- Internal Medicine Physician
- Snellville, GA
National Provider Identifier
1871615740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 016770
- Legal business name
- SNELLVILLE MEDICAL GROUP, P.C.
- Practice address
- 2356 Lenora Church Rd
Snellville, GA 30078-3233 - Phone
- (770) 972-0340
- NPI assigned
- Apr 4, 2007
- Last updated
- Oct 25, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John H Ahrendt, M.D.
- Title
- President
- Phone
- (770) 972-0340
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 016770 | GA | Primary |
Addresses
Primary practice location
2356 Lenora Church Rd
Snellville, GA 30078-3233
Mailing address
2356 Lenora Church Rd
Snellville, GA 30078-3233
Phone (770) 972-0340
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Snellville, GA
- NPI 1497807895
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319500800000",
"number": "1871615740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2356 LENORA CHURCH RD",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300783233",
"telephone_number": "770-972-0340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2356 LENORA CHURCH RD",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300783233",
"telephone_number": "770-972-0340"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SNELLVILLE MEDICAL GROUP, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-04",
"last_updated": "2011-10-25",
"status": "A",
"authorized_official_last_name": "AHRENDT",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "770-972-0340",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "GA",
"license": "016770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.