Active NPI
Physicians' Immediate Med
- Family Medicine Physician
- Duluth, GA
National Provider Identifier
1912948217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PHYSICIANS' IMMEDIATE MED
- Practice address
- 3551 Satellite Blvd
Duluth, GA 30096-4646 - Phone
- (770) 476-3000
- Fax
- (770) 476-4066
- NPI assigned
- Jun 9, 2006
- 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
- Loretta P Hart
- Title
- Branch Manager/Credentialing
- Phone
- (770) 476-3000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
3551 Satellite Blvd
Duluth, GA 30096-4646
Mailing address
3551 Satellite Blvd
Duluth, GA 30096-4646
Phone (770) 476-3000
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.
-
- Family Medicine Physician
- Chatsworth, GA
- NPI 1336198969
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1912948217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3551 SATELLITE BLVD",
"city": "DULUTH",
"state": "GA",
"postal_code": "300964646",
"telephone_number": "770-476-3000",
"fax_number": "770-476-4066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3551 SATELLITE BLVD",
"city": "DULUTH",
"state": "GA",
"postal_code": "300964646",
"telephone_number": "770-476-3000",
"fax_number": "770-476-4066"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICIANS' IMMEDIATE MED",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-09",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HART",
"authorized_official_first_name": "LORETTA",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "BRANCH MANAGER/CREDENTIALING",
"authorized_official_telephone_number": "770-476-3000"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.