Bedside Physicians LLC

Organization Active NPI Internal Medicine Physician · Smyrna, GA

NPI 1891489449 · NPPES record last updated May 13, 2026

Key facts

NPI
1891489449
Entity type
Organization (NPI type 2)
Primary specialty
Internal Medicine Physician 207R00000X
Legal business name
BEDSIDE PHYSICIANS LLC
Practice address
2635 S Cobb Dr SE
Smyrna, GA 30080-1845
Phone
(513) 633-0088
NPI assigned
Jun 6, 2023
Organization subpart
No

Authorized official

Name
Jabulani Sidile, MD NPI 1164650743
Title
Co-Owner
Phone
(513) 633-0088

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 3

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20231220000893 GA Part B Supplier - Clinic/Group Practice 9830550581 Receives reassigned benefits from 3 practitioners
Practice locations: Smyrna, GA

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207R00000X Yes
Nephrology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RN0300X

Addresses

Primary practice location

2635 S Cobb Dr SE
Smyrna, GA 30080-1845

Mailing address

2635 S Cobb Dr SE
Smyrna, GA 30080-1845
Phone (513) 633-0088

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 13, 2026.

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1891489449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2635 S COBB DR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300801845",
            "telephone_number": "513-633-0088",
            "fax_number": "470-462-4408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 S COBB DR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300801845",
            "telephone_number": "513-633-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDSIDE PHYSICIANS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "SIDILE",
        "authorized_official_first_name": "JABULANI",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "513-633-0088",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

All providers in Smyrna, GA · Internal Medicine Physician in Georgia

Sources for this page

Verify at the official NPI Registry.