North Roswell Internal Medicine, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

047576 Issued in GA

Legal business name

NORTH ROSWELL INTERNAL MEDICINE, PC

Practice address

11050 Crabapple Rd
BLDG. a Ste 104-B
Roswell, GA 30075-2489

Phone

(770) 645-0017

Fax

(770) 645-0024

NPI assigned

Oct 25, 2007

Last updated

Jul 28, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ognjenka Goga Brkic-Vukotic, M.D.NPI 1023067147

Title

Physician

Phone

(770) 645-0017

Specialties & licenses 1

Addresses

Other names 1

• Goga Vukotic, MD PC Other name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3619/brand/1/csg/1/fhir/r4

Practitioners 6

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.

• Ognjenka Goga Brkic-Vukotic, M.D.

  • Internal Medicine Physician
  • Roswell, GA
  • NPI 1023067147

  Single Specialty

  Medicare reassignment Care Compare group NPD Authorized official
• George J Kanes, M.D.

  • Pulmonary Disease Physician
  • Marietta, GA
  • NPI 1124012554
  Medicare reassignment Care Compare group NPD
• Farah Mubarak Ali, MD

  • Family Medicine Physician
  • Roswell, GA
  • NPI 1962799734
  Medicare reassignment Care Compare group NPD
• Keela K Weeks, NP

  • Primary Care Nurse Practitioner
  • Roswell, GA
  • NPI 1831315431
  Medicare reassignment Care Compare group NPD
• Gabriela Clark, FNP-C

  • Family Nurse Practitioner
  • Roswell, GA
  • NPI 1750169504
  Medicare reassignment NPD
• Monique An-Jel Rosser, FNP

  • Family Nurse Practitioner
  • Marietta, GA
  • NPI 1730786047
  Medicare reassignment NPD

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280275200000",
    "number": "1952580177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11050 CRABAPPLE RD",
            "address_2": "BLDG. A STE 104-B",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752489",
            "telephone_number": "770-645-0017",
            "fax_number": "770-645-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11050 CRABAPPLE RD",
            "address_2": "BLDG. A STE 104-B",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752489",
            "telephone_number": "770-645-0017",
            "fax_number": "770-645-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ROSWELL INTERNAL MEDICINE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-25",
        "last_updated": "2010-07-28",
        "status": "A",
        "authorized_official_last_name": "BRKIC-VUKOTIC",
        "authorized_official_first_name": "OGNJENKA",
        "authorized_official_middle_name": "GOGA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "770-645-0017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "047576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Goga Vukotic, MD PC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Internal Medicine Physician in Roswell, GA
• Providers in Roswell, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.