SOUTH ATLANTA MEDICAL ASSOCIATES PC
NPI 1073782058
Internal Medicine in East Point, GA

Active since February 25, 2008CLIA 11D0957501 · Waiver
1029 CLEVELAND AVE, EAST POINT, GA 30344(404) 768-4626(404) 768-4631 Get Directions Write a Review

NPPES record last updated: September 17, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About South Atlanta Medical Associates Pc NPPES

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

SOUTH ATLANTA MEDICAL ASSOCIATES PC (NPI 1073782058) is a healthcare organization registered as an internal medicine in East Point, Georgia and active in the NPI registry since February 2008. The organization holds a CLIA Waiver certificate valid through February 22, 2027 and lists Nicky M Battle, Manager, as its authorized official.

NPPES Registry Identity

NPI1073782058
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameSOUTH ATLANTA MEDICAL ASSOCIATES PC
Location Address1029 CLEVELAND AVEEast Point, GA 30344-6719
Mailing Address1029 Cleveland AveEast Point, GA 30344-6719 · (404) 768-4626 · Fax (404) 768-4631
Fax(404) 768-4631
Organization SubpartYes
Authorized OfficialNicky M BattleManager · (404) 768-4626
Enumeration DateFebruary 25, 2008
Last NPPES UpdateSeptember 17, 2015
NPI 1073782058 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 · 035622
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.
1029 CLEVELAND AVE, East Point, GA 30344

Other Identifiers 4

Medicare PIN511G700388GA
Medicaid00508483GGA
Medicare PIN11BDPGTGA
Medicare UPINF31881GA

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

Accepted Insurance

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 of Waiver 11D0957501

South Atlanta Medical Associates PC · East Point, GA
Active · expires Feb 22, 2027
CLIA Number11D0957501
Laboratory TypePhysician Office
Certificate Effective DateFebruary 23, 2025
Certificate Expiration DateFebruary 22, 2027
Laboratory DirectorDr. Samuel C. Erinne
Laboratory Phone(404) 768-4626
Laboratory LocationSouth Atlanta Medical Associates PC1029 Cleveland Avenue, East Point, GA 30344
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

Internal Medicine
1029 CLEVELAND AVE
EAST POINT, GA 30344
Clinic/Center (Primary Care)
1029 CLEVELAND AVE
EAST POINT, GA 30344
Internal Medicine (Geriatric Medicine)
1029 CLEVELAND AVE
EAST POINT, GA 30344
Dentist (General Practice)
1029 CLEVELAND AVE
EAST POINT, GA 30344
Family Medicine
1029 CLEVELAND AVE
EAST POINT, GA 30344
Internal Medicine
1029 CLEVELAND AVE
EAST POINT, GA 30344

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 South Atlanta Medical Associates PC's NPI number?

The NPI number for South Atlanta Medical Associates PC is 1073782058. It was assigned to this organization in the NPPES registry on February 25, 2008.

Where is South Atlanta Medical Associates PC located?

South Atlanta Medical Associates PC is located at 1029 Cleveland Ave, East Point, GA 30344. The listed phone number is (404) 768-4626.

What is South Atlanta Medical Associates PC's specialty?

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

Does South Atlanta Medical Associates PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D0957501) is associated with this NPI, valid through February 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does South Atlanta Medical Associates PC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list South Atlanta Medical Associates PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for South Atlanta Medical Associates PC was last updated on September 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.