EASTSIDE INTERNAL MEDICINE, LLC
NPI 1932256526
Legal Medicine in Conyers, GA

Active since January 04, 2007
2080 EASTSIDE DR, SUITE A, CONYERS, GA 30013(678) 625-7800(678) 625-7888 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 21, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Eastside Internal Medicine, Llc NPPES

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

EASTSIDE INTERNAL MEDICINE, LLC (NPI 1932256526) is a healthcare organization registered as a legal medicine in Conyers, Georgia and active in the NPI registry since January 2007. The organization lists Henrietta Maddox, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1932256526
Entity TypeOrganization
Primary Taxonomy173000000X
Legal Business NameEASTSIDE INTERNAL MEDICINE, LLC
Location Address2080 EASTSIDE DR, SUITE AConyers, GA 30013-1953
Mailing Address2080 Eastside Dr, Suite AConyers, GA 30013-1953 · (678) 625-7800 · Fax (678) 625-7888
Fax(678) 625-7888
Organization SubpartNo
Authorized OfficialHenrietta MaddoxOffice Manager · (678) 625-7800
Enumeration DateJanuary 4, 2007
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
NPI 1932256526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLegal MedicineOther Service Providers
Taxonomy Code173000000X
Definition
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.
2080 EASTSIDE DR, Conyers, GA 30013

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

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
2080 EASTSIDE DR, SUITE A
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 Eastside Internal Medicine, LLC's NPI number?

The NPI number for Eastside Internal Medicine, LLC is 1932256526. It was assigned to this organization in the NPPES registry on January 4, 2007.

Where is Eastside Internal Medicine, LLC located?

Eastside Internal Medicine, LLC is located at 2080 Eastside Dr Suite A, Conyers, GA 30013. The listed phone number is (678) 625-7800.

What is Eastside Internal Medicine, LLC's specialty?

The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.

What insurance does Eastside Internal Medicine, LLC accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Eastside Internal Medicine, LLC 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 Eastside Internal Medicine, LLC was last updated on July 21, 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.