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STREETERVILLE INTERNAL MEDICINE 2LLC
NPI 1053684852
Internal Medicine in Atlanta, GA

Active since February 10, 2012CLIA 14D2019155 · Microscopy
5909 PEACHTREE DUNWOODY RD NE, SUITE 900, ATLANTA, GA 30328(404) 943-0205(404) 943-0209 Get Directions Write a Review

NPPES record last updated: February 10, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Streeterville Internal Medicine 2llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STREETERVILLE INTERNAL MEDICINE 2LLC (NPI 1053684852) is a healthcare organization registered as an internal medicine in Atlanta, Georgia and active in the NPI registry since February 2012. The organization holds a CLIA Microscopy certificate valid through January 23, 2027 and lists Alicia Holden, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1053684852
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSTREETERVILLE INTERNAL MEDICINE 2LLC
Location Address5909 PEACHTREE DUNWOODY RD NE, SUITE 900Atlanta, GA 30328-5388
Mailing Address676 N Saint Clair St, Suite 1740Chicago, IL 60611-2927 · (312) 926-0444 · Fax (312) 926-2797
Phone(404) 943-0205
Fax(404) 943-0209
Organization SubpartNo
Authorized OfficialAlicia HoldenBilling Manager · (404) 943-0205
Enumeration DateFebruary 10, 2012
✔ NPI 1053684852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
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.
5909 PEACHTREE DUNWOODY RD NE, Atlanta, GA 30328
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D2019155

Streeterville Internal Medicine LLC · Chicago, IL
Active · expires Jan 23, 2027
CLIA Number14D2019155
Laboratory TypePhysician Office
Certificate Effective DateJanuary 24, 2025
Certificate Expiration DateJanuary 23, 2027
Laboratory DirectorDr. Rachel A. Omara
Laboratory Phone(312) 926-0444
Laboratory LocationStreeterville Internal Medicine LLC676 N Saint Clair St, Ste 1740, Chicago, IL 60611
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ATLANTA CENTER FOR REPRODUCTIVE MEDICINE
Obstetrics & Gynecology (Reproductive Endocrinology)
5909 PEACHTREE DUNWOODY RD NE, SUITE 720
ATLANTA, GA 30328
Fulton County (770) 928-2276
DR. JAMES P TONER MD
Obstetrics & Gynecology (Reproductive Endocrinology)
5909 PEACHTREE DUNWOODY RD NE, SUITE 720
ATLANTA, GA 30328
Fulton County (770) 928-2276
DR. ANDRE L DENIS M.D.
Obstetrics & Gynecology (Reproductive Endocrinology)
5909 PEACHTREE DUNWOODY RD NE, SUITE 720
ATLANTA, GA 30328
Fulton County (770) 928-2276
DAVID L. KEENAN M.D.
Obstetrics & Gynecology (Reproductive Endocrinology)
5909 PEACHTREE DUNWOODY RD NE, SUITE 720
ATLANTA, GA 30328
Fulton County (770) 928-2276
DR. ROBIN HICKMAN FOGLE M.D.
Obstetrics & Gynecology (Reproductive Endocrinology)
5909 PEACHTREE DUNWOODY RD NE, SUITE 720
ATLANTA, GA 30328
Fulton County (770) 928-2276
MIRRIN E REAGAN RN, NP
Nurse Practitioner (Women's Health)
5909 PEACHTREE DUNWOODY RD NE, STE 720
ATLANTA, GA 30328
Fulton County (770) 928-2276
DR. LISA A HASTY MD
Obstetrics & Gynecology (Reproductive Endocrinology)
5909 PEACHTREE DUNWOODY RD NE, SUITE 720
ATLANTA, GA 30328
Fulton County (770) 928-2276
TRACEY SINGH RD,LD,MPH
Dietitian, Registered
5909 PEACHTREE DUNWOODY RD NE, SUITE 720
ATLANTA, GA 30328
Fulton County (770) 928-2276

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Streeterville Internal Medicine 2llc's NPI number?

The NPI number for Streeterville Internal Medicine 2llc is 1053684852. It was assigned to this organization in the NPPES registry on February 10, 2012.

Where is Streeterville Internal Medicine 2llc located?

Streeterville Internal Medicine 2llc is located at 5909 Peachtree Dunwoody Rd NE Suite 900, Atlanta, GA 30328. The listed phone number is (404) 943-0205.

What is Streeterville Internal Medicine 2llc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Streeterville Internal Medicine 2llc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D2019155) is associated with this NPI, valid through January 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Streeterville Internal Medicine 2llc was last updated on February 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.