PROVIDENCE MEDICAL GROUP, PC - NPI 1063570604 - Internal Medicine in Atlanta, GA

Q: What is Providence Medical Group, PC's NPI number?

The NPI number for Providence Medical Group, PC is 1063570604. It was assigned to this organization in the NPPES registry on December 5, 2006.

Q: What is Providence Medical Group, PC's specialty?

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

On this page

About Providence Medical Group, Pc NPPES

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

PROVIDENCE MEDICAL GROUP, PC (NPI 1063570604) is a healthcare organization registered as an internal medicine in Atlanta, Georgia and active in the NPI registry since December 2006. The organization lists Oladayo Adisa Osinuga, President, as its authorized official.

NPPES Registry Identity

NPI1063570604

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NamePROVIDENCE MEDICAL GROUP, PC

Location Address550 PEACHTREE ST NE, SUITE 1285Atlanta, GA 30308-2249

Mailing AddressPo Box 4047Macon, GA 31208-4047 · (404) 856-3213 · Fax (404) 856-3217

Phone(404) 856-3213

Fax(404) 856-3217

Organization SubpartNo

Authorized OfficialOladayo Adisa OsinugaPresident · (404) 684-7111

Enumeration DateDecember 5, 2006

Last NPPES UpdateJune 19, 2012

✔ NPI 1063570604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in GA · 051703

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.

550 PEACHTREE ST NE, Atlanta, GA 30308

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

DR. DOMINIC JOSEPH PAPANDRIA M.D.

Surgery