WITHINME MD, ATLANTA
NPI 1972929685
Clinic/Center - Medical Specialty in Atlanta, GA

Active since March 06, 2014
604 GLEN IRIS DR NE, ATLANTA, GA 30308(404) 464-8169(404) 921-9577 Get Directions Write a Review

NPPES record last updated: March 6, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Withinme Md, Atlanta NPPES

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

WITHINME MD, ATLANTA (NPI 1972929685) is a healthcare organization registered as a medical specialty in Atlanta, Georgia and active in the NPI registry since March 2014. The organization lists Derron Simon, Chief Medical Director, as its authorized official.

NPPES Registry Identity

NPI1972929685
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameWITHINME MD, ATLANTA
Location Address604 GLEN IRIS DR NEAtlanta, GA 30308-2717
Mailing Address604 Glen Iris Dr Ne, 5275 Lee Highway #201, Arlington, Virginia 22207Atlanta, GA 30308-2717 · (404) 464-8169 · Fax (404) 921-9577
Fax(404) 921-9577
Organization SubpartNo
Authorized OfficialDerron SimonChief Medical Director · (804) 441-5040
Enumeration DateMarch 6, 2014
NPI 1972929685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License Licensed in GA · 1366405037
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

604 GLEN IRIS DR NE, Atlanta, GA 30308

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
604 GLEN IRIS DR NE
ATLANTA, GA 30308

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972929685, enumerated as an "organization" on March 06, 2014.

The provider is located at 604 GLEN IRIS DR NE ATLANTA, GA 30308 and the phone number is (404) 464-8169.

Clinic/Center with taxonomy code 261QM2500X and a focus in Medical Specialty.