NORTH FULTON INTERNAL MEDICINE GROUP
NPI 1396708087
Clinic/Center - Primary Care in Roswell, GA
NPI Status: Active since April 11, 2006
Contact Information
2500 HOSPITAL BLVD
SUITE 250
ROSWELL, GA
ZIP 30076
Phone: (770) 442-1111
Fax: (770) 740-2990
- Organization
- Clinic/Center
- Primary Care
- CLIA Number: 11D0688425
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 09-01-2026
About NORTH FULTON INTERNAL MEDICINE GROUP
This page provides the complete NPI Profile along with additional information for North Fulton Internal Medicine Group, a primary care provider established in Roswell, Georgia operating as a Clinic/center, focusing in primary care . The healthcare provider is registered in the NPI registry with number 1396708087 assigned on April 2006. The practitioner's primary taxonomy code is 261QP2300X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The authorized official of this NPI record is Mrs. Charity Q Boulton (Practice Administrator)
- NPI
- 1396708087
- Provider Name
- NORTH FULTON INTERNAL MEDICINE GROUP
- Entity Type
- Organization
- Location Address
- 2500 HOSPITAL BLVD SUITE 250 ROSWELL, GA 30076
- Location Phone
- (770) 442-1111
- Location Fax
- (770) 740-2990
- Mailing Address
- 2500 HOSPITAL BLVD SUITE 250 ROSWELL, GA 30076
- Mailing Phone
- (770) 442-1111
- Mailing Fax
- (770) 740-2990
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-11-2006
- Last Update Date
- 08-22-2020
- Code Navigator
A primary care provider (PCP) like North Fulton Internal Medicine Group sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Primary Care
- Taxonomy Code
- 261QP2300X
- Type
- Ambulatory Health Care Facilities
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D0688425
- Facility Type
- Physician Office
- Certificate Effective Date
- September 02, 2024
- Certificate Expiration Date
- September 01, 2026
- Laboratory Director
- ROBERT F. EGAN MD
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to North Fulton Internal Medicine Group in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 9 | 6 | 7 | 0 | 8 | 0 | 8 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 18 | 6 | 14 | 0 | 16 | 0 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 8 + 6 + 1 + 4 + 0 + 1 + 6 + 0 + 1 + 6 + 24 = 63 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 63 = 7 | 7 | ||||||||
The NPI number 1396708087 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1396748513 | SUSANNE MICHELE HEWITT MD Individual | Ophthalmology | 2500 HOSPITAL BLVD SUITE 115 ROSWELL, GA 30076 (770) 475-0123 |
| 1700884285 | DR. CAROL ANN JOHNSON AU.D., F-AAA Individual | Audiologist | 2500 HOSPITAL BLVD SUITE 450 ROSWELL, GA 30076 (770) 343-8675 |
| 1194724930 | ROY S. SCHOTTENFELD M.D. Individual | Specialist | 2500 HOSPITAL BLVD SUITE 450 ROSWELL, GA 30076 (770) 343-8675 |
| 1669471413 | RAYMOND L. SCHETTINO M.D. Individual | Specialist | 2500 HOSPITAL BLVD SUITE 450 ROSWELL, GA 30076 (770) 343-8675 |
| 1265434294 | DR. MITCHELL WAYNE HECHT M.D. Individual | Internal Medicine | 2500 HOSPITAL BLVD SUITE 280 ROSWELL, GA 30076 (770) 475-0212 |
| 1104811934 | DR. MARK R DUNBAR MD Individual | Ophthalmology | 2500 HOSPITAL BLVD SUITE 100 ROSWELL, GA 30076 (770) 475-0123 |
| 1467447045 | DR. STEPHEN J RASHBAUM MD Individual | Internal Medicine (Gastroenterology) | 2500 HOSPITAL BLVD SUITE 290 ROSWELL, GA 30076 (770) 410-4346 |
| 1194714881 | CHRISTINE TRAHAN PA-C Individual | Physician Assistant (Medical) | 2500 HOSPITAL BLVD SUITE 250 ROSWELL, GA 30076 (770) 442-1111 |
| 1972592632 | PHILIP G HUFF M.D. Individual | Internal Medicine | 2500 HOSPITAL BLVD SUITE 250 ROSWELL, GA 30076 (770) 442-1111 |
| 1245229715 | ROBERT A YOUNG PA-C Individual | Physician Assistant (Medical) | 2500 HOSPITAL BLVD SUITE 250 ROSWELL, GA 30076 (770) 442-1111 |
| 1013907880 | DR. WILLIAM BIZZARO MD Individual | Internal Medicine (Gastroenterology) | 2500 HOSPITAL BLVD SUITE 480 ROSWELL, GA 30076 (770) 475-3085 |
| 1437128857 | MITCHAEL LEE VICKERS CRNA Individual | Nurse Anesthetist, Certified Registered | 2500 HOSPITAL BLVD SUITE 480 ROSWELL, GA 30076 (678) 762-0676 |
| 1487695144 | MRS. SUSAN BETH FAGES LIC-A Individual | Audiologist | 2500 HOSPITAL BLVD SUITE 450 ROSWELL, GA 30076 (770) 343-8675 |
| 1073607875 | SPECTRUM NEUROSURGICAL SPECIALISTS PC Organization | Neurological Surgery | 2500 HOSPITAL BLVD STE 310 ROSWELL, GA 30076 (770) 664-9600 |
| 1699811596 | EMILE R TOUFIGHIAN C.N.M Individual | Obstetrics & Gynecology (Obstetrics) | 2500 HOSPITAL BLVD SUITE 290 ROSWELL, GA 30076 (770) 664-7013 |
| 1912165507 | MRS. HOLLY NORTH M.A., CCC-A Individual | Audiologist | 2500 HOSPITAL BLVD SUITE 450 ROSWELL, GA 30076 (770) 343-8675 |
| 1285957167 | NORTH ATLANTA GASTROENTEROLOGY, P.C. Organization | Internal Medicine (Gastroenterology) | 2500 HOSPITAL BLVD SUITE 280 ROSWELL, GA 30076 (770) 410-1600 |
| 1972828473 | BENDER ORTHOPAEDICS & SPINE SPECIALIST Organization | Pain Medicine (Pain Medicine) | 2500 HOSPITAL BLVD SUITE 150 ROSWELL, GA 30076 (678) 297-7588 |
| 1457664419 | IN GOOD TIME OBGYN, P.C. Organization | Obstetrics & Gynecology | 2500 HOSPITAL BLVD STE 410 ROSWELL, GA 30076 (646) 287-7355 |
| 1255620159 | BRUCE E BOSSE MDPC Organization | Specialist | 2500 HOSPITAL BLVD SUITE 440 ROSWELL, GA 30076 (770) 663-4649 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1396708087, enumerated in the NPI registry as an "organization" on April 11, 2006
The provider is located at 2500 Hospital Blvd Suite 250 Roswell, Ga 30076 and the phone number is (770) 442-1111
This medical organization specializes in Clinic/Center with taxonomy code 261QP2300X with a focus in Primary Care
The provider's CLIA number is 11D0688425 for a "physician office" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on April 11, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.