BETHEL GROUP OF GEORGIA INC NPI 1467572321

NPI Information

  • NPI: 1467572321
  • Provider Name: BETHEL GROUP OF GEORGIA INC
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • Address: 2870 PEACHTREE RD NW
    SUITE 919
    ATLANTA, GA
    ZIP 30305
  • Phone: (404) 735-9844

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NPI Details

BETHEL GROUP OF GEORGIA INC is a general practice in Atlanta, GA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee BETHEL GROUP OF GEORGIA INC NPI is 1467572321. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2870 PEACHTREE RD NW
SUITE 919
ATLANTA, GA
ZIP 30305-918
Phone: (404) 735-9844
Fax: (404) 355-4669

The provider's authorized official is Jorge Juan Bacallao .
The authorized official title is Director and has the following contact phone number (404) 735-9844.

The enumeration date for this NPI number is 4/1/2007 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice139625LGBGEORGIAYes

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: 11/21/2025

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