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MID PROVIDER INC
NPI 1962621532
Nurse Practitioner - Gerontology in Roswell, GA

Active since April 24, 2007
1230 WORTHINGTON HILLS DR, ROSWELL, GA 30076(404) 229-0274(770) 518-4026 Get Directions Write a Review

NPPES record last updated: January 5, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mid Provider Inc NPPES

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

MID PROVIDER INC (NPI 1962621532) is a healthcare organization registered as a gerontology in Roswell, Georgia and active in the NPI registry since April 2007. The organization lists Patricia J Norris, Director, as its authorized official.

NPPES Registry Identity

NPI1962621532
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameMID PROVIDER INC
Location Address1230 WORTHINGTON HILLS DRRoswell, GA 30076-1753
Mailing Address1230 Worthington Hills DrRoswell, GA 30076-1753 · (404) 229-0274 · Fax (770) 518-4026
Phone(404) 229-0274
Fax(770) 518-4026
Organization SubpartNo
Authorized OfficialPatricia J NorrisDirector · (404) 229-0274
Enumeration DateApril 24, 2007
Last NPPES UpdateJanuary 5, 2010
✔ NPI 1962621532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in GA · RN133089
1230 WORTHINGTON HILLS DR, Roswell, GA 30076
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Other Identifiers 2

OtherDD4864GA · Railroad Retierment
Medicare ID-Type UnspecifiedGRP6091GA · Group Number

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

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 Mid Provider Inc's NPI number?

The NPI number for Mid Provider Inc is 1962621532. It was assigned to this organization in the NPPES registry on April 24, 2007.

Where is Mid Provider Inc located?

Mid Provider Inc is located at 1230 Worthington Hills Dr, Roswell, GA 30076. The listed phone number is (404) 229-0274.

What is Mid Provider Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Mid Provider Inc was last updated on January 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.