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ATHENS GERIATRICS AND INTERNAL MEDICINE PC NPI 1891918934


NPI Information

NPI: 1891918934
Provider Name: ATHENS GERIATRICS AND INTERNAL MEDICINE, PC
Classification: Internal Medicine - 207RG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

CLIA Number: 11D1067661

Address:
1500 OGLETHORPE AVE
SUITE 3200
ATHENS, GA
ZIP 30606
Phone: (706) 549-8931
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ATHENS GERIATRICS AND INTERNAL MEDICINE, PC is a geriatric medicine internal medicine in Athens, GA. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. ATHENS GERIATRICS AND INTERNAL MEDICINE, PC NPI is 1891918934. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1500 OGLETHORPE AVE
SUITE 3200
ATHENS, GA
ZIP 30606-179
Phone: (706) 549-8931
Fax: (706) 549-0088

The provider's authorized official is Mark Jerome Paradela .
The authorized official title is President and has the following contact phone number (706) 549-8931.

The CLIA number assigned to this NPI record is 11D1067661 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/10/2007 and was last updated on 8/22/2020.


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
1207RG0300XInternal MedicineGeriatric Medicine049200GEORGIAYes

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: 11/14/2023

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