Mid Physician Network (Oh), LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

MID PHYSICIAN NETWORK (OH), LLC

Practice address

5665 New Northside Dr
Suite 520
Atlanta, GA 30328-5831

Phone

(855) 879-4332

NPI assigned

Nov 4, 2015

Organization subpart

No

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

Authorized official

Name

Adrian Davis

Title

Chief Executive Officer

Phone

(678) 491-2804

Specialties & licenses 1

Addresses

Tax ID family

Mid Physician Network Oh LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mid Physician Network (Oh), LLC

  • Community/Behavioral Health Agency
  • Atlanta, GA
  • NPI 1184137960
  NPD tax ID

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1446595200000",
    "number": "1982077590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5665 NEW NORTHSIDE DR",
            "address_2": "SUITE 520",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5665 NEW NORTHSIDE DR",
            "address_2": "SUITE 520",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285831",
            "telephone_number": "855-879-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID PHYSICIAN NETWORK (OH), LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-04",
        "last_updated": "2015-11-04",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "678-491-2804"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mid Physician Network (in), LLC
• Mid Physician Network (in), LLC
• Mid Physician Network (Ky), LLC
• Mid Physician Network (Ky), LLC
• Mid Physician Network (Oh), LLC
• Mid Physician Network (WV), PLLC
• Mid Physician Network (WV), PLLC
• Mid-South Home Care Services, LLC
• Twanna Makeitha Midcalf, RN
• Lashawnda Middlebrooks-Rittenberry

• General Practice Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; 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.