Individual provider · NPI-1

Mengistu Berie, MD

Hospitalist · Lawrenceville, GA

NPI number1992064935

StatusActive

Last updated in NPPESAug 7, 2023

Details

NPI: 1992064935
Entity type: Individual (NPI-1)
Name: Mengistu Berie
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: May 11, 2012
Certification date: Aug 7, 2023
Last updated: Aug 7, 2023

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208M00000X	Hospitalist	95895	GA	Yes
207R00000X	Internal Medicine	3902	TN
207R00000X	Internal Medicine	95895	GA

Practice location

1000 Medical Center Blvd
Lawrenceville, GA 30046-7694

Phone 678-312-3294 · Fax 678-312-3282

Mailing address

1000 Medical Center Blvd
Lawrenceville, GA 30046-7694

Phone 678-312-3294 · Fax 678-312-3282

Is something wrong?

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.