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NEIGHBORMD OF SOUTH ATLANTA LLC
NPI 1285235036
Internal Medicine in Atlanta, GA

Active since November 06, 2020
3885 PRINCETON LAKES WAY SW STE 412, ATLANTA, GA 30331(404) 344-6000(404) 344-6575 Get Directions Write a Review

NPPES record last updated: August 19, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 19, 2021, Nov 6, 2020 (2 updates tracked since 2020).

About Neighbormd Of South Atlanta Llc NPPES

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

NEIGHBORMD OF SOUTH ATLANTA LLC (NPI 1285235036) is a healthcare organization registered as an internal medicine in Atlanta, Georgia and active in the NPI registry since November 2020. The organization lists David Romanello, Coo, as its authorized official.

NPPES Registry Identity

NPI1285235036
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameNEIGHBORMD OF SOUTH ATLANTA LLC
Location Address3885 PRINCETON LAKES WAY SW STE 412Atlanta, GA 30331-5599
Mailing Address3885 Princeton Lakes Way Sw Ste 412Atlanta, GA 30331-5599 · (404) 344-6000 · Fax (404) 344-6575
Phone(404) 344-6000
Fax(404) 344-6575
Organization SubpartNo
Authorized OfficialDavid RomanelloCoo · (352) 459-3661
Enumeration DateNovember 6, 2020
Last NPPES UpdateAugust 19, 20212 updates tracked since enumeration
NPPES CertifiedAugust 19, 2021
✔ NPI 1285235036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.
3885 PRINCETON LAKES WAY SW STE 412, Atlanta, GA 30331
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Neighbormd Of South Atlanta Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Neighbormd Of South Atlanta LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Tracy Mayberry, DPM
Podiatry
NPI 1497738413
1683 WASHINGTON RD
East Point, GA 30344
(404) 766-6400
✔ PECOS✔ Accepts Medicare4.2 mi
Adeniyi Babalola, MD
Internal Medicine
NPI 1497793970
285 BOULEVARD NE STE 435
Atlanta, GA 30312
(404) 222-9914
✔ PECOS11 mi
Joel Isom, M.D.
Internal Medicine
NPI 1194930222
285 BOULEVARD NE SUITE 435-436
Atlanta, GA 30312
(404) 222-9914
✔ PECOS✔ Accepts Medicare11 mi
Natasha Williamson, NP
Nurse Practitioner
NPI 1386033132
285 BOULEVARD NE
Atlanta, GA 30312
(404) 222-9914
✔ PECOS✔ Accepts Medicare11 mi
Audrey Roberson, NP-C
Nurse Practitioner
NPI 1811495385
315 BOULEVARD NE STE 224
Atlanta, GA 30312
(404) 265-6888
✔ PECOS11 mi
Nakato Kibuyaga-Travis, M.D.
Family Practice
NPI 1609031657
6043 PRESTLEY MILL RD STE B
Douglasville, GA 30134
(770) 947-3000
✔ PECOS✔ Accepts Medicare14 mi
Solomon Tafari, M.D.
Internal Medicine
NPI 1235128828
2701 N DECATUR RD
Decatur, GA 30033
(404) 501-7885
✔ PECOS✔ Accepts Medicare16 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Neighbormd Of South Atlanta LLC's NPI number?

The NPI number for Neighbormd Of South Atlanta LLC is 1285235036. It was assigned to this organization in the NPPES registry on November 6, 2020.

Where is Neighbormd Of South Atlanta LLC located?

Neighbormd Of South Atlanta LLC is located at 3885 Princeton Lakes Way SW Ste 412, Atlanta, GA 30331. The listed phone number is (404) 344-6000.

What is Neighbormd Of South Atlanta LLC's specialty?

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

Is Neighbormd Of South Atlanta LLC enrolled in Medicare?

Yes. Neighbormd Of South Atlanta LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Neighbormd Of South Atlanta LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 4 Medicare specialties reassign their Medicare billing to Neighbormd Of South Atlanta LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Internal Medicine (3), Nurse Practitioner (2) and Family Practice (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Neighbormd Of South Atlanta LLC was last updated on August 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.