VIRGINIA INPATIENT MEDICINE ASSOCIATES LLC (NPI# 1922311265) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922311265 |
| Entity Type | Organization |
| Organization Name | VIRGINIA INPATIENT MEDICINE ASSOCIATES LLC |
| Practice Address |
5901 Peachtree Dunwoody Rd Ne Suite C-350 Atlanta GA 30328-5382 |
| Mailing Address |
Po Box 96368 Oklahoma City OK 73143-6368 |
| Practice Telephone | 6784418500 |
| Practice Fax Number | 6783970065 |
| Mailing Telephone | 6784418500 |
| Mailing Fax Number | 6783970065 |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2013-07-17 |
| Authorized Official Name | DR. TALBOT GREEN MCCORMICK III (PRESIDENT-CHIEF OPERATING OFFICIER) |
| Authorized Official Telephone | 6784418500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | EAGLE HOSPITAL PHYSICIANS, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5922470 | 05 | |
| VA | RR MEDICARE | DR2432 | 01 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Virginia Inpatient Medicine Associates LLC | 5901 C Peachtree Dunwoody Rd Ste 350, Atlanta, Georgia 30328 |
| Street Address |
5901 PEACHTREE DUNWOODY RD NE SUITE C-350 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30328-5382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053319228 | Kenneth G. Kupke | Pediatrics | 5901 Peachtree Dunwoody Rd Ne, Suite B 420, Atlanta, GA 30328-5382 | 2005-07-12 |
| 1326285388 | Mary Neel Johnson | Nurse Practitioner | 5901 Peachtree Dunwoody Rd Ne, Suite B-420, Atlanta, GA 30328-5382 | 2009-01-13 |
| 1831340801 | Kimberly Ann Meade | Physician Assistant | 5901 Peachtree Dunwoody Rd Ne, Ste B-420, Atlanta, GA 30328-5382 | 2008-10-08 |
| 1235321530 | Kim Verleigh Cooley | Nurse Practitioner | 5901 Peachtree Dunwoody Rd Ne, Atlanta, GA 30328-5382 | 2007-08-10 |
| 1831272434 | Michael Scott Halan | Chiropractor | 5901 Peachtree Dunwoody Rd Ne, Suite B-485, Atlanta, GA 30328-5382 | 2006-10-24 |
| 1932134525 | Neal A Guttenberg | Pediatrics | 5901 Peachtree Dunwoody Rd Ne, Suite B-420, Atlanta, GA 30328-5382 | 2006-07-11 |
| 1962472613 | Tara Choate Davis | Nurse Practitioner | 5901 Peachtree Dunwoody Rd Ne, Suite B-420, Atlanta, GA 30328-5382 | 2006-01-25 |
| 1659372761 | Janet Chastain | Nurse Practitioner | 5901 Peachtree Dunwoody Rd Ne, Suite B 420, Atlanta, GA 30328-5382 | 2005-08-10 |
| 1881695823 | Betty Darlene Carnes | Nurse Practitioner | 5901 Peachtree Dunwoody Rd Ne, Suite B 420, Atlanta, GA 30328-5382 | 2005-08-01 |
| 1215937743 | Anne Olesen | Physician Assistant | 5901 Peachtree Dunwoody Rd Ne, Suite B 420, Atlanta, GA 30328-5382 | 2005-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467910042 | Amber Andrews | Behavior Technician | 750 Hammond Drive Bldg 7 Suite 100, Atlanta, GA 30328 | 2019-03-04 |
| 1215492830 | Ryan William Dubinin | Behavior Technician | 750 Hammond Drive, Building 7, Suite 100, Atlanta, NJ 30328 | 2019-02-07 |
| 1346710142 | Emily Rose Lloyd Swavely | Speech-Language Pathologist | 5825 Glenridge Rd., Building 1, Suite 133, Atlanta, GA 30328 | 2018-12-05 |
| 1063994481 | Mark Edward Brachmanski | Optometrist | 800 Mount Vernon Highway Ne, Suite 130, Atlanta, GA 30328 | 2018-09-01 |
| 1407352578 | Nina Brown | Massage Therapist | 7100 Peachtree Dunwoody Rd Ste 110, Sandy Springs, GA 30328 | 2018-04-05 |
| 1336657741 | Renee Usher Reeves | Assistant Behavior Analyst | 750 Hammond Dr Building 7, Suite 100, Atlanta, GA 30328 | 2018-01-19 |
| 1487168274 | Patricia Nicole Felder | Student in an Organized Health Care Education/Training Program | 270 Carpenter Dr, Ne, Suite # 400, Atlanta, GA 30328 | 2017-12-01 |
| 1447762927 | Ponders Podiatry LLC | Podiatrist | 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 | 2017-10-24 |
| 1770093601 | Syed M Rasheed | Physician Assistant | 5788 Roswell Rd Ste 100, Atlanta, GA 30328 | 2017-10-05 |
| 1437678190 | Jeanette Denise Jones | Counselor | 270 Carpenter Drive, Suite 400, Sandy Springs, GA 30328 | 2017-09-13 |
| Find all providers in zip 30328 | ||||
| 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 |
| 1326527144 | Vergena Montgomery Clark | Internal Medicine | 3142 Esplanade Cir Sw, Atlanta, GA 30311-4221 | 2018-08-13 |
| 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 |
| 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.