ID GROUP OF ATLANTA
NPI 1063833267
Non-Pharmacy Dispensing Site in Atlanta, GA

Active since December 16, 2013
735 PIEDMONT AVENUE, NE, ATLANTA, GA 30308(404) 588-4680 Get Directions Write a Review

NPPES record last updated: December 16, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Id Group Of Atlanta NPPES

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

ID GROUP OF ATLANTA (NPI 1063833267) is a healthcare organization registered as a non-pharmacy dispensing site in Atlanta, Georgia and active in the NPI registry since December 2013. The organization lists John P Ouderkirk, Member, as its authorized official.

NPPES Registry Identity

NPI1063833267
Entity TypeOrganization
Primary Taxonomy332900000X
Legal Business NameID GROUP OF ATLANTA
Location Address735 PIEDMONT AVENUE, NEAtlanta, GA 30308
Mailing Address735 Piedmont Avenue, NeAtlanta, GA 30308 · (404) 588-4680
Organization SubpartNo
Authorized OfficialJohn P OuderkirkMember · (404) 588-4680
Enumeration DateDecember 16, 2013
NPI 1063833267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers
Taxonomy Code332900000X
License Licensed in GA · 049992
Definition
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)
735 PIEDMONT AVENUE, NE, Atlanta, GA 30308

Other Identifiers 1

Medicaid000926318AGA

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 Id Group Of Atlanta's NPI number?

The NPI number for Id Group Of Atlanta is 1063833267. It was assigned to this organization in the NPPES registry on December 16, 2013.

Where is Id Group Of Atlanta located?

Id Group Of Atlanta is located at 735 Piedmont Avenue, NE, Atlanta, GA 30308. The listed phone number is (404) 588-4680.

What is Id Group Of Atlanta's specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Id Group Of Atlanta was last updated on December 16, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.