1306947403 NPI number — DR. CATHERINE E APPIAH-PIPPIM MD, FACP

Table of content: DR. CATHERINE E APPIAH-PIPPIM MD, FACP (NPI 1306947403)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1306947403 NPI number — DR. CATHERINE E APPIAH-PIPPIM MD, FACP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
APPIAH-PIPPIM
Provider First Name:
CATHERINE
Provider Middle Name:
E
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD, FACP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
APALOO
Provider Other First Name:
CATHERINE
Provider Other Middle Name:
E
Provider Other Name Prefix Text:
DR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD, FACP
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1306947403
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/12/2018
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2727 PACES FERRY ROAD
Provider Second Line Business Mailing Address:
SUITE 1-1100 (ATTENTION DENISE)
Provider Business Mailing Address City Name:
ATLANTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30339
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
470-271-3421
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1500 OGLETHORPE AVE
Provider Second Line Business Practice Location Address:
STE 600F
Provider Business Practice Location Address City Name:
ATHENS
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30606-2179
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
706-548-2133
Provider Business Practice Location Address Fax Number:
706-548-7153
Provider Enumeration Date:
09/25/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  035467 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207R00000X , with the licence number: 071964 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 110009013 , issued by the state of ( CT ) . This identifiers is of the category "MEDICAID".
  • Identifier: 003150662 , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".




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