Organization Active NPI

Yivory Medical Group of Georgia PC

  • Internal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1972411247
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
YIVORY MEDICAL GROUP OF GEORGIA PC
Practice address
1314 Chattahoochee Ave NW # B34
Atlanta, GA 30318-2829
Phone
(925) 321-6353
NPI assigned
Aug 28, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Authorized official

Name
Eyad Nazer, MD
Title
Owner
Phone
(925) 321-6353

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1314 Chattahoochee Ave NW # B34
Atlanta, GA 30318-2829

Mailing address

1314 Chattahoochee Ave NW # B34
Atlanta, GA 30318-2829
Phone (925) 321-6353

NPI Registry JSON

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

{
    "created_epoch": "1787875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1972411247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 CHATTAHOOCHEE AVE NW # B34",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182829",
            "telephone_number": "925-321-6353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 CHATTAHOOCHEE AVE NW # B34",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182829",
            "telephone_number": "925-321-6353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YIVORY MEDICAL GROUP OF GEORGIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-28",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "NAZER",
        "authorized_official_first_name": "EYAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-321-6353",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.