Withinme MD, Atlanta

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

1366405037 Issued in GA

Legal business name

WITHINME MD, ATLANTA

Practice address

604 Glen Iris Dr NE
Atlanta, GA 30308-2717

Phone

(404) 464-8169

Fax

(404) 921-9577

NPI assigned

Mar 6, 2014

Organization subpart

No

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

Authorized official

Name

Derron Simon, MD

Title

Chief Medical Director

Phone

(804) 441-5040

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394064000000",
    "number": "1972929685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 GLEN IRIS DR NE",
            "address_2": "5275 LEE HIGHWAY #201, ARLINGTON, VIRGINIA 22207",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082717",
            "telephone_number": "404-464-8169",
            "fax_number": "404-921-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 GLEN IRIS DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303082717",
            "telephone_number": "404-464-8169",
            "fax_number": "404-921-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WITHINME MD, ATLANTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-06",
        "last_updated": "2014-03-06",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "DERRON",
        "authorized_official_title_or_position": "CHIEF MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "804-441-5040",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "GA",
            "license": "1366405037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marilyn Witbeck, LMFT, LPC
• With Love Home Care LLC
• Laura Witham
• John S Withers, MD
• Kendra Witherspoon, LPC
• Janice C Withrow, LPC
• Lucy Witt, MD
• Melissa Witt
• Michael A. Witt, M.D.
• Harold P Wittcoff, MD

• Medical Specialty Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Medical Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; 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.