SPECTRUM INTERNAL MEDICINE, LLC (NPI# 1437576659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437576659 |
| Entity Type | Organization |
| Organization Name | SPECTRUM INTERNAL MEDICINE, LLC |
| Practice Address |
401 S Main St Suite B3 Alpharetta GA 30009-1974 |
| Practice Telephone | 6783199901 |
| Practice Fax Number | 6783199902 |
| Mailing Telephone | 6783199901 |
| Mailing Fax Number | 6783199902 |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2014-03-26 |
| Authorized Official Name | DR. JULIUS KOLAWOLE ADEBISI (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6783199901 |
| Authorized Official Credential | M.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
58939 | GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 390122159B | 05 |
| Street Address |
401 S MAIN ST SUITE B3 |
| City | ALPHARETTA |
| State | GA |
| Zip Code | 30009-1974 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508470428 | Mindful Sport and Performance | Clinic/Center | 401 S Main St, Alpharetta, GA 30009-1974 | 2020-09-08 |
| 1457724874 | Eunice Momeh | Nurse Practitioner | 401 S Main St, Alpharetta, GA 30009-1974 | 2015-11-06 |
| 1225448178 | Neil D Patel | Internal Medicine | 401 S Main St, Suite A4, Alpharetta, GA 30009-1974 | 2014-04-30 |
| 1982941456 | Beverly Jean Tanner | Advanced Practice Midwife | 401 S Main St, Suite B-8, Alpharetta, GA 30009-1974 | 2013-01-03 |
| 1457601312 | Alpharetta Podiatry | Podiatrist | 401 S Main St, Unit A-1, Alpharetta, GA 30009-1974 | 2012-09-18 |
| 1689820748 | Omar Naoulo | Podiatrist | 401 S Main St, Unit A-1, Alpharetta, GA 30009-1974 | 2008-08-08 |
| 1841455094 | Ashish N Kakadia | Dentist | 401 S Main St, Suite B5, Alpharetta, GA 30009-1974 | 2008-07-26 |
| 1396911319 | Kathryn G Botelho | Advanced Practice Midwife | 401 S Main St, Suite B-8, Alpharetta, GA 30004-1974 | 2008-04-30 |
| 1295907863 | Alpharetta Highway Dental Group | Dentist | 401 S Main St, Alpharetta, GA 30004-1974 | 2008-03-24 |
| 1619155306 | Main Street Internal Medicine & Pediatrics PC | Internal Medicine | 401 S Main St, Suite C5, Alpharetta, GA 30009-7960 | 2008-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861017634 | Trinity Care Counseling | Community/Behavioral Health | 3475 Northwinds Parkway, 200, Alpharetta, GA 30009 | 2020-06-08 |
| 1437778354 | Therapeutic Alliance LLC | Social Worker | 2300 Lakeview Parkway, Suite 700, Alpharetta, GA 30009 | 2020-04-10 |
| 1457901209 | Carehere LLC | Family Medicine | Carehere Clinic- Jackson Healthcare, 2655 Northwinds Pkwy, Alpharetta, GA 30009 | 2019-09-13 |
| 1952888927 | Total Access Pediatrics LLC | Pediatrics | 401 S Main St Ste A1, Alpharetta, GA 30009 | 2018-07-23 |
| 1356836878 | Hcenti, LLC | Audiologist-Hearing Aid Fitter | 2365 Old Milton Parkway, Alpharetta, GA 30009 | 2018-06-27 |
| 1093203341 | Samantha Elizabeth Heuwagen | Marriage & Family Therapist | 286 S Main St Ste 100, Alpharetta, GA 30009 | 2018-04-23 |
| 1275035578 | Personal Concierge Md, LLC | Internal Medicine | 10105 Westside Parkway, Suite 110, Alpharetta, GA 30009 | 2018-03-02 |
| 1124474929 | Allyne Anesthesia PC | Anesthesiology | 11675 Rainwater Drive, Suite 250, Alpharetta, GA 30009 | 2016-05-11 |
| 1932579885 | Patricia Aycock Jones Garrett | Nurse Practitioner | 1031a Cambridge Square, Alpharetta, GA 30009 | 2015-10-05 |
| 1558770123 | Terry A Williams | Physician Assistant | 2400 Old Milton Parkway, #1433, Alpharetta, GA 30009 | 2014-08-07 |
| Find all providers in zip 30009 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457587719 | Appalachia Non-profit Community Clinics, Inc. | Clinic/Center | 5455 Mcginnis Village Pl, Suite 101, Alpharetta, GA 30005-1741 | 2009-06-01 |
| 1578530325 | Alphacare Medical Center, PC | Clinic/Center | 1865 Lockeway Dr, Suite 603, Alpharetta, GA 30004-5928 | 2006-03-01 |
| 1043680341 | Milton Medical Group, LLC | Clinic/Center | 735 N Main St, 1100, Alpharetta, GA 30009-2405 | 2015-09-29 |
| 1811387327 | Jm Family Enterprises, Inc | Clinic/Center | 5925 Cabot Pkwy, Alpharetta, GA 30005-2268 | 2015-02-04 |
| 1205243458 | Alpha Family Medicine Inc | Clinic/Center | 480 N Main St Ste 202, Alpharetta, GA 30009-8386 | 2014-07-21 |
| 1780027284 | North Atlanta Medical & Digestive Care LLC | Clinic/Center | 4020 Old Milton Pkwy, Suite 100, Alpharetta, GA 30005-3424 | 2013-04-15 |
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| 1780296533 | North Atlanta Mental Wellness | Clinic/Center | 1742 Mount Vernon Rd Ste 150b, Atlanta, GA 30338-4251 | 2020-08-21 |
| 1639788136 | Walker Health and Wellness LLC | Clinic/Center | 111 Bradford Dr, Bloomingdale, GA 31302-4926 | 2020-07-30 |
| 1942827332 | Primary Care of Coastal Georgia | Clinic/Center | 214a Professional Cir, St Marys, GA 31558 | 2020-07-01 |
| 1598389637 | Mercie Health | Clinic/Center | 3721 New Macland Rd Ste 246, Powder Springs, GA 30127-2000 | 2020-06-04 |
| 1366061699 | Beyondmed LLC | Clinic/Center | 1820 Willow Branch Ln Nw, Kennesaw, GA 30152-4558 | 2020-04-16 |
| 1366082596 | Rock Health Inc | Clinic/Center | 5385 Five Forks Trickum Rd Ste F, Stone Mountain, GA 30087-3018 | 2020-01-15 |
| 1477192219 | Meridian Corporate Healthcare of Georgia P C | Clinic/Center | 5163 Thompson Bridge Rd, Murrayville, GA 30564-1930 | 2019-12-26 |
| Find all providers with the same taxonomy | ||||
| City | ALPHARETTA |
| Zip Code | 30009 |
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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.