1942463856 NPI number — NORTH POINT INTERNAL MEDICINE, P.C.

Table of content: (NPI 1942463856)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942463856 NPI number — NORTH POINT INTERNAL MEDICINE, P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NORTH POINT INTERNAL MEDICINE, P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1942463856
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/29/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3005 ROYAL BLVD S
Provider Second Line Business Mailing Address:
SUITE 220
Provider Business Mailing Address City Name:
ALPHARETTA
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30022-1409
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
678-762-0053
Provider Business Mailing Address Fax Number:
678-691-5651

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3005 ROYAL BLVD S
Provider Second Line Business Practice Location Address:
SUITE 220
Provider Business Practice Location Address City Name:
ALPHARETTA
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30022-1409
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
678-762-0053
Provider Business Practice Location Address Fax Number:
678-691-5651
Provider Enumeration Date:
07/10/2008

Additional Information

Authorized Official

Authorized Official Last Name:
UCHEGBU
Authorized Official First Name:
CHUKWUDI
Authorized Official Middle Name:
Authorized Official Title or Position:
MD
Authorized Official Telephone Number:
678-762-0053

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 1100983174 . This is a "CLIA" identifier , issued by the state of ( GA ) . This identifiers is of the category "OTHER".
  • Identifier: 00758249C , issued by the state of ( GA ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com