Jefrey D Lieberman MD PC
Internal Medicine, Rheumatology in Decatur, GA. Organization (NPI-2).
Details
- NPI
- 1124209481
- Entity type
- Organization (NPI-2)
- Legal business name
- Jefrey D Lieberman MD PC
- Organization subpart
- No
- Enumeration date
- Nov 15, 2007
- Certification date
- Jun 7, 2024
- Last updated
- Jun 7, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - CLINIC/GROUP PRACTICE
- 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 |
|---|---|---|---|---|
| 207RR0500X | Internal Medicine, Rheumatology | – | – | Yes |
Practice location
2680 Lawrenceville Hwy Ste 201Decatur, GA 30033-2526
Phone 404-296-4911 · Fax 404-296-1512
Mailing address
2680 Lawrenceville Hwy Ste 201Decatur, GA 30033-2526
Phone 404-296-4911 · Fax 404-296-1512
Authorized official
Jefrey D Lieberman
Owner
4042964911
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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