DR. VERGENA MONTGOMERY CLARK (NPI# 1326527144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326527144 |
| Entity Type | Individual |
| Full Name | DR. VERGENA MONTGOMERY CLARK |
| Other Name | VERGENA PATRICA MONTGOMERY |
| Credential | MD |
| Practice Address |
3142 Esplanade Cir Sw Atlanta GA 30311-4221 |
| Mailing Address |
6101 Blue Lagoon Dr Ste 400 Miami FL 33126-2051 |
| Practice Telephone | 4044411365 |
| Practice Fax Number | 2104286384 |
| Mailing Telephone | 4044411365 |
| Mailing Fax Number | 2104286384 |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2019-01-03 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | ME76527 | FL | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 56987 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
3142 ESPLANADE CIR SW |
| City | ATLANTA |
| State | GA |
| Zip Code | 30311-4221 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528612694 | Modern Internal Medicine Urgent Care and Primary Care Inc | Clinic/Center | 2457 Martin Luther King Jr, Dr, Sw, Suit A, Atlanta, GA 30311 | 2019-07-27 |
| 1528515053 | Cherese Williams | Counselor | 2636 M L K Jr Dr Sw, Suite 22, Atlanta, GA 30311 | 2016-09-01 |
| 1558754168 | James Edwin Wagner | Licensed Practical Nurse | 377 Peyton Road S W, Atlanta, GA 30311 | 2015-03-07 |
| 1790180131 | Johnny L Johnson | Nutritionist | 3030 Cambelton Rd, Atlanta, GA 30311 | 2014-10-28 |
| 1770718330 | Clayton E. Bell Sr. | Chiropractor | 2905 Campbellton Road, Suite G, Atlanta, GA 30311 | 2009-05-26 |
| 1720243207 | Farida Zohouri | Counselor | 2536 Martin Luther King Jr. Dr. Sw, Atlanta, GA 30311 | 2008-07-23 |
| 1649348962 | Mona Elaine Reynolds | Chiropractor | 3079 Campbellton Road, Suite 205, Atlanta, GA 30311 | 2006-12-04 |
| 1245337211 | Loreen C Doyle-littles | Pediatrics | 1175 Cascade Pkwy, Pediatrics Health Care Team A, Atlanta, GA 30311 | 2006-09-20 |
| 1740383512 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2429 Martin Luther King Jr. Dr., Atlanta, GA 30311 | 2006-09-07 |
| 1407806359 | Booker T Poe | Pediatrics | 2600 Martin Luther King Jr Dr, Ste 202, Atlanta, GA 30311 | 2006-05-11 |
| Find all providers in zip 30311 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902407752 | Neighbormd of Atlanta LLC | Internal Medicine | 285 Boulevard Ne Ste 435&436, Atlanta, GA 30312-4205 | 2020-11-06 |
| 1053912907 | Neighbormd of North Atlanta LLC | Internal Medicine | 1800 Peachtree St Nw Ste 730nw, Atlanta, GA 30309-2519 | 2020-11-06 |
| 1285235036 | Neighbormd of South Atlanta LLC | Internal Medicine | 3885 Princeton Lakes Way Sw Ste 412, Atlanta, GA 30331-5599 | 2020-11-06 |
| 1679137657 | Internal Medicine Consulting Services | Internal Medicine | 3365 Piedmont Rd Ne Ste 1400, Atlanta, GA 30305-1795 | 2019-04-25 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1790299071 | Jay Leonard Lichtenfeld | Internal Medicine | 1711 E Clifton Rd Ne, Atlanta, GA 30307-1247 | 2017-11-26 |
| 1558872432 | Qcpi-villagemd, PC | Internal Medicine | 3445 Peachtree Rd Ne Ste 1200, Atlanta, GA 30326-3251 | 2017-10-18 |
| 1033640115 | Christopher Massad | Internal Medicine | 1364 Clifton Rd Ne Ste H-153, Atlanta, GA 30322-1059 | 2017-03-21 |
| 1114377025 | Atlanta Clinical Research Centers LLC | Internal Medicine | 5673 Peachtree Dunwoody Rd Ste 440, Atlanta, GA 30342-1797 | 2016-06-21 |
| 1902256415 | Jennifer R Chevinsky | Internal Medicine | 2400 Century Pkwy Ne, Atlanta, GA 30345-3135 | 2016-06-15 |
| Find all providers in ATLANTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.