POLARIS MEDICAL GROUP LLC
NPI 1366583577
Specialist in Atlanta, GA

Active since February 09, 2007
1136 CLEVELAND AVE, ATLANTA, GA 30344(404) 766-8110(404) 766-8106 Get Directions Write a Review

NPPES record last updated: April 3, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Polaris Medical Group Llc NPPES

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

POLARIS MEDICAL GROUP LLC (NPI 1366583577) is a healthcare organization registered as a specialist in Atlanta, Georgia and active in the NPI registry since February 2007. The organization lists Lisa C Perry-gilkes, Cfo, as its authorized official.

NPPES Registry Identity

NPI1366583577
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePOLARIS MEDICAL GROUP LLC
Location Address1136 CLEVELAND AVEAtlanta, GA 30344
Mailing Address1136 Cleveland AveAtlanta, GA 30344 · (404) 766-8110 · Fax (404) 766-8106
Fax(404) 766-8106
Organization SubpartNo
Authorized OfficialLisa C Perry-gilkesCfo · (404) 766-8110
Enumeration DateFebruary 9, 2007
Last NPPES UpdateApril 3, 2009
NPI 1366583577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in GA · 052218
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1136 CLEVELAND AVE, Atlanta, GA 30344

Other Identifiers 3

Medicare UPINE77103GA
Medicare PIN04BDCPFGA
Medicaid442333125CGA

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 MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

Podiatrist
1136 CLEVELAND AVE, SUITE 305
EAST POINT, GA 30344
Obstetrics & Gynecology
1136 CLEVELAND AVE, 317
EAST POINT, GA 30344
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1136 CLEVELAND AVE, STE 209
EAST POINT, GA 30344
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1136 CLEVELAND AVE, STE#209
EAST POINT, GA 30344
Surgery
1136 CLEVELAND AVE, SUITE 611
EAST POINT, GA 30344
Dentist
1136 CLEVELAND AVE, SUITE 202
EAST POINT, GA 30344
Obstetrics & Gynecology
1136 CLEVELAND AVE, SUITE 208
EAST POINT, GA 30344
Internal Medicine (Pulmonary Disease)
1136 CLEVELAND AVE, STE 519
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 Polaris Medical Group LLC's NPI number?

The NPI number for Polaris Medical Group LLC is 1366583577. It was assigned to this organization in the NPPES registry on February 9, 2007.

Where is Polaris Medical Group LLC located?

Polaris Medical Group LLC is located at 1136 Cleveland Ave, Atlanta, GA 30344. The listed phone number is (404) 766-8110.

What is Polaris Medical Group LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Polaris Medical Group LLC was last updated on April 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.