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NEESAM COMPANY INCORPORATED NPI 1376952069


NPI Information

NPI: 1376952069
Provider Name: NEESAM COMPANY INCORPORATED

Doing Business As: SOUTH ATLANTA AREA PRIMARY CARE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 11D0878886

Address:
777 CLEVELAND AVE SW STE 500
ATLANTA, GA
ZIP 30315
Phone: (404) 755-2291
Get Directions

NEESAM COMPANY INCORPORATED is a family medicine in Atlanta, GA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NEESAM COMPANY INCORPORATED NPI is 1376952069. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As South Atlanta Area Primary Care.

The provider's business location address is:

777 CLEVELAND AVE SW STE 500
ATLANTA, GA
ZIP 30315-115
Phone: (404) 755-2291
Fax: (404) 755-5377

The provider's authorized official is Drew Lewis .
The authorized official title is Cfo and has the following contact phone number (404) 409-6577.

The CLIA number assigned to this NPI record is 11D0878886 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/6/2014 and was last updated on 1/11/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorNo
2213ES0103XPodiatristFoot & Ankle SurgeryNo
3207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1003188149AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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