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NOUVEAU MEDIC LLC
NPI 1104100395
Clinic/Center - Multi-Specialty in Atlanta, GA

Active since October 05, 2011
600 PHIPPS BLVD NE APT 1304, ATLANTA, GA 30326(678) 653-0045(404) 393-3640 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 1, 2022, Dec 12, 2016 (2 updates tracked since 2016).

About Nouveau Medic Llc NPPES

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

NOUVEAU MEDIC LLC (NPI 1104100395) is a healthcare organization registered as a multi-specialty in Atlanta, Georgia and active in the NPI registry since October 2011. The organization lists Joy S Edwards, Clinical Manager, as its authorized official.

NPPES Registry Identity

NPI1104100395
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameNOUVEAU MEDIC LLC
Location Address600 PHIPPS BLVD NE APT 1304Atlanta, GA 30326-3342
Mailing Address600 Phipps Blvd Ne Apt 1304Atlanta, GA 30326-3342 · (678) 653-0045 · Fax (404) 393-3640
Phone(678) 653-0045
Fax(404) 393-3640
Organization SubpartNo
Authorized OfficialJoy S EdwardsClinical Manager · (678) 653-0045
Enumeration DateOctober 5, 2011
Last NPPES UpdateFebruary 1, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 1, 2022
✔ NPI 1104100395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
Also ListedFamily Medicine · Adolescent MedicineTaxonomy 207QA0000X · License 051126 (GA)
Also ListedFamily Medicine · Adult MedicineTaxonomy 207QA0505X · License 051126 (GA)
Also ListedInternal Medicine · Clinical & Laboratory ImmunologyTaxonomy 207RI0001X
600 PHIPPS BLVD NE APT 1304, Atlanta, GA 30326
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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

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 Nouveau Medic LLC's NPI number?

The NPI number for Nouveau Medic LLC is 1104100395. It was assigned to this organization in the NPPES registry on October 5, 2011.

Where is Nouveau Medic LLC located?

Nouveau Medic LLC is located at 600 Phipps Blvd NE Apt 1304, Atlanta, GA 30326. The listed phone number is (678) 653-0045.

What is Nouveau Medic LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Nouveau Medic LLC was last updated on February 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.