NPIMap

Organization Active NPI

Classic City Internal Medicine

  • Health Service Clinic/Center
  • Athens, GA
National Provider Identifier
1942421920
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
045157 Issued in GA
Legal business name
CLASSIC CITY INTERNAL MEDICINE
Practice address
385 Hawthorne LN Ste 200
Athens, GA 30606-2100
Phone
(706) 543-3130
Fax
(706) 543-3215
NPI assigned
May 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2008

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

Authorized official

Name
Emad Uddin Ahmed, MDNPI 1144394883
Title
President
Phone
(706) 543-3130

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)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X 045157 GA Primary

Addresses

Primary practice location

385 Hawthorne LN Ste 200
Athens, GA 30606-2100

Mailing address

385 Hawthorne LN Ste 200
Athens, GA 30606-2100
Phone (706) 543-3130

National Provider Directory

National Provider Directory

Locations

385 Hawthorne Ln
Ste 200
Athens, GA 30606
Phone (706) 543-3130

385 Hawthorne Ln
Athens, GA 30606

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206576000000",
    "number": "1942421920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 HAWTHORNE LN STE 200",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062100",
            "telephone_number": "706-543-3130",
            "fax_number": "706-543-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 HAWTHORNE LN STE 200",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062100",
            "telephone_number": "706-543-3130",
            "fax_number": "706-543-3215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLASSIC CITY INTERNAL MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2008-03-27",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "EMAD",
        "authorized_official_middle_name": "UDDIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-543-3130",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "GA",
            "license": "045157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 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.

Verify at the official NPI Registry.