CONYERS MEDICAL CLINIC, PC
NPI 1235203811
Internal Medicine in Conyers, GA

Active since November 17, 2006
2601 SALEM RD SE, CONYERS, GA 30013(770) 922-1880(770) 388-0201 Get Directions Write a Review

NPPES record last updated: May 14, 2008. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Conyers Medical Clinic, Pc NPPES

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

CONYERS MEDICAL CLINIC, PC (NPI 1235203811) is a healthcare organization registered as an internal medicine in Conyers, Georgia and active in the NPI registry since November 2006. The organization lists Ganesh N Kini, Cfo, as its authorized official.

NPPES Registry Identity

NPI1235203811
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCONYERS MEDICAL CLINIC, PC
Location Address2601 SALEM RD SEConyers, GA 30013-2127
Mailing Address2601 Salem Rd SeConyers, GA 30013-2127 · (770) 922-1880 · Fax (770) 388-0201
Fax(770) 388-0201
Organization SubpartNo
Authorized OfficialGanesh N KiniCfo · (770) 922-1880
Enumeration DateNovember 17, 2006
Last NPPES UpdateMay 14, 2008
NPI 1235203811 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 · 30120
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.
2601 SALEM RD SE, Conyers, GA 30013

Other Identifiers 1

Medicare ID-Type UnspecifiedGRP7047GA · Provider No.

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

Other Providers at the Same Location NPPES

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

Internal Medicine
2601 SALEM RD SE
CONYERS, GA 30013

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 Conyers Medical Clinic, PC's NPI number?

The NPI number for Conyers Medical Clinic, PC is 1235203811. It was assigned to this organization in the NPPES registry on November 17, 2006.

Where is Conyers Medical Clinic, PC located?

Conyers Medical Clinic, PC is located at 2601 Salem Rd SE, Conyers, GA 30013. The listed phone number is (770) 922-1880.

What is Conyers Medical Clinic, PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Conyers Medical Clinic, PC was last updated on May 14, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.