Neighbormd Of North Atlanta LLC

Internal Medicine in Atlanta, GA. Organization (NPI-2).

NPI number1053912907

StatusActive

Last updated in NPPESNov 6, 2020

Details

NPI: 1053912907
Entity type: Organization (NPI-2)
Legal business name: Neighbormd Of North Atlanta LLC
Organization subpart: No
Enumeration date: Nov 6, 2020
Certification date: Nov 6, 2020
Last updated: Nov 6, 2020

Medicare and OIG

Medicare enrolled (PECOS): Not in the Medicare enrollment file
Can order and refer: Not on the CMS order and referring list
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	–	–	Yes

Practice location

1800 Peachtree St Nw Ste 730nw
Atlanta, GA 30309-2519

Phone 954-770-8613

Mailing address

1800 Peachtree St Nw Ste 730nw
Atlanta, GA 30309-2519

Authorized official

James Lee Clark
Manager Member
9544840800

Is something wrong?

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