ELIZABETH SOLOMON PC (HEALTH IN HARMONY) - NPI NUMBER 1124468798

Summary

Provider Name: ELIZABETH SOLOMON PC (HEALTH IN HARMONY)

NPI Number: 1124468798

Clasification: Internal Medicine (207R00000X)

Address:
1220 CHATUGE CIR
HIAWASSEE, GA
ZIP 30546

Phone Number: (706) 896-9442



Detailed Information

ELIZABETH SOLOMON PC is an internist in Hiawassee, GA. The provider is 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. The assigned NPI number for this provider is 1124468798 and is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Health In Harmony.

The provider's business address is:

1220 CHATUGE CIR
HIAWASSEE, GA
ZIP 30546-825
Phone: (706) 896-9442
Fax: (706) 896-1246

The provider's authorized official is Elizabeth W Solomon .
The authorized official title is Owner and has the following contact phone number (706) 896-9442.

The enumeration date for this NPI number is 6/27/2013 and was last updated on 6/27/2013.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 207R00000X Internal Medicine 41964 GA Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 F62752 MEDICARE UPIN

NPI Record

No. Field Name Field Value Field Definition 1
1 NPI 1124468798 The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
2 Entity Type Code 2 Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
3 Employer Identification Number EIN The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified.
4 Provider Organization Name Legal Business Name ELIZABETH SOLOMON PC The name of the organization provider. If the provider is an organization, this is the legal business name.
5 Provider Other Organization Name HEALTH IN HARMONY Other name by which the organization provider is or has been known.
6 Provider Other Organization Name Type Code 3 Code identifying the type of other name. Codes are: 1 = former name; 2 = professional name; 3 = doing business as (d/b/ a) name; 4 = former legal business name; 5 = other.
7 Provider First Line Business Practice Location Address 1220 CHATUGE CIR The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
8 Provider Business Practice Location Address City Name HIAWASSEE The city name in the location address of the provider being identified.
9 Provider Business Practice Location Address State Name GA The State code in the location of the provider being identified.
10 Provider Business Practice Location Address Postal Code 305461825 The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
11 Provider Business Practice Location Address Country Code If outside U S US The country code in the location address of the provider being identified.
12 Provider Business Practice Location Address Telephone Number 7068969442 The telephone number associated with the location address of the provider being identified.
13 Provider Business Practice Location Address Fax Number 7068961246 The fax number associated with the location address of the provider being identified.
14 Provider Enumeration Date 6/27/2013 The date the provider was assigned a unique identifier (assigned an NPI).
15 Last Update Date 6/27/2013 The date that a record was last updated or changed.
16 Authorized Official Last Name SOLOMON The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider.
17 Authorized Official First Name ELIZABETH The first name of the authorized official.
18 Authorized Official Middle Name W The middle name of the authorized official.
19 Authorized Official Title or Position OWNER The title or position of the authorized official.
20 Authorized Official Telephone Number 7068969442 The 10-position telephone number of the authorized official.
21 Healthcare Provider Taxonomy Code 1 207R00000X Code designating the provider type, classification, and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1.
22 Provider License Number 1 41964 The license number issued to the provider being identified. The NPS can accommodate multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’.
23 Provider License Number State Code 1 GA The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number.
24 Healthcare Provider Primary Taxonomy Switch 1 Y
25 Other Provider Identifier 1 F62752 Additional number currently or formerly used as an identifier for the provider being identified. This data element will be captured from the NPI application/update form.
26 Other Provider Identifier Type Code 1 02 Code indicating the type of identifier currently or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form.
27 Is Organization Subpart N
28 Authorized Official Name Prefix Text DR.
29 Authorized Official Credential Text M.D.
30 Healthcare Provider Taxonomy Group 1 193400000X SINGLE SPECIALTY GROUP

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This page was last updated on: 3/10/2015

(1) Field Definition Source-. Federal Register / Vol. 69, No. 15 / Friday, January 23, 2004 / Rules and Regulations - Part II Department of Health and Human Services Office of the Secretary 45 CFR Part 162 HIPAA Administrative Simplification: Standard Unique Health Identifier for Health Care Providers; Final Rule

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