Provider Type Icon

WITHINME MD COLLEGE PARK NPI 1528478807


NPI Information

NPI: 1528478807
Provider Name: WITHINME MD, COLLEGE PARK
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
5100 OLD BILL COOK RD
COLLEGE PARK, GA
ZIP 30349
Phone: (404) 464-8169
Get Directions

WITHINME MD, COLLEGE PARK is a clinic center in College Park, GA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). WITHINME MD, COLLEGE PARK NPI is 1528478807. The provider is registered as an organization entity type.

The provider's business location address is:

5100 OLD BILL COOK RD
COLLEGE PARK, GA
ZIP 30349-142
Phone: (404) 464-8169

The provider's authorized official is Vicki James .
The authorized official title is Medical Director and has the following contact phone number (470) 225-1345.

The enumeration date for this NPI number is 5/7/2014 and was last updated on 5/7/2014.


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
1261Q00000XClinic/Center031032GEORGIAYes

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.