SOUTH ATLANTA PULMONARY GROUP NPI 1376676486

NPI Information

NPI: 1376676486
Provider Name: SOUTH ATLANTA PULMONARY GROUP
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

Address:
1136 CLEVELAND AVE
SUITE 519
EAST POINT, GA
ZIP 30344
Phone: (404) 761-3525
Get Directions

SOUTH ATLANTA PULMONARY GROUP is a pulmonary disease internal medicine in East Point, GA. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. SOUTH ATLANTA PULMONARY GROUP NPI is 1376676486. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1136 CLEVELAND AVE
SUITE 519
EAST POINT, GA
ZIP 30344-618
Phone: (404) 761-3525
Fax: (404) 766-3696

The provider's authorized official is Cheryl L Reyes .
The authorized official title is Business Office Manager and has the following contact phone number (404) 466-6242.

The enumeration date for this NPI number is 3/14/2007 and was last updated on 12/23/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		020396	GEORGIA	No
2	207R00000X	Internal Medicine		028704	GEORGIA	No
3	207RP1001X	Internal Medicine	Pulmonary Disease	028704	GEORGIA	No
4	207RP1001X	Internal Medicine	Pulmonary Disease	020396	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000179286C	MEDICAID	GEORGIA
2	000330206B	MEDICAID	GEORGIA
3	D44689	MEDICARE UPIN	GEORGIA
4	331703920A	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA	DR.AKBIK
5	D28766	MEDICARE UPIN	GEORGIA
6	143542165A	MEDICARE ID-TYPE UNSPECIFIED	GEORGIA	DR.AL-MULKI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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