Active NPI
Primary Care Associates of Atlanta, LLC
- Internal Medicine Physician
- Tucker, GA
National Provider Identifier
1922149079
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 057199
- Legal business name
- PRIMARY CARE ASSOCIATES OF ATLANTA, LLC
- Practice address
- 1462 Montreal Rd
Ste 201
Tucker, GA 30084-6929 - Phone
- (770) 414-5611
- Fax
- (770) 414-5612
- NPI assigned
- Feb 10, 2007
- 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
- Stephanie Turnage, MD
- Title
- Owner Physician
- Phone
- (770) 414-5611
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 057199 | GA | Primary |
Addresses
Primary practice location
1462 Montreal Rd
Ste 201
Tucker, GA 30084-6929
Mailing address
1462 Montreal Rd
Ste 201
Tucker, GA 30084-6929
Phone (770) 414-5611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 758713451B | Medicaid | GA |
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.
-
- Internal Medicine Physician
- Tucker, GA
- NPI 1245292317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171065600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216944000000",
"number": "1922149079",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1462 MONTREAL RD",
"address_2": "STE 201",
"city": "TUCKER",
"state": "GA",
"postal_code": "300846929",
"telephone_number": "770-414-5611",
"fax_number": "770-414-5612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1462 MONTREAL RD",
"address_2": "STE 201",
"city": "TUCKER",
"state": "GA",
"postal_code": "300846929",
"telephone_number": "770-414-5611",
"fax_number": "770-414-5612"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIMARY CARE ASSOCIATES OF ATLANTA, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-10",
"last_updated": "2008-07-25",
"status": "A",
"authorized_official_last_name": "TURNAGE",
"authorized_official_first_name": "STEPHANIE",
"authorized_official_title_or_position": "OWNER PHYSICIAN",
"authorized_official_telephone_number": "770-414-5611",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "GA",
"license": "057199",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "758713451B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tucker, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.