CLASSICARE INTERNAL MEDICINE – NPI #1922130012
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLASSICARE INTERNAL MEDICINE is a provider located in DOUGLASVILLE, GA. NPPES has assigned the NPI number 1922130012 to CLASSICARE INTERNAL MEDICINE on March 12, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CLASSICARE INTERNAL MEDICINE” is a dba name, the actual legal business name for this organization is CLASSICARE MEDICAL CONSULT PC, INC. The primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 7 years ago on Sep 17, 2019. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CLASSICARE INTERNAL MEDICINE below.

NPI Profile for
CLASSICARE MEDICAL CONSULT PC, INC

NPI Number
1922130012
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CLASSICARE MEDICAL CONSULT PC, INC
Doing Business As (dba): CLASSICARE INTERNAL MEDICINE
Primary location
4904 TIMBER RIDGE DR STE 303
DOUGLASVILLE, GA 30135-1831
Phone: (770) 489-5000 Fax: (770) 489-0305
1 Other location(s):
6025 Professional Parkway
Suite 102
Douglasville, GA 30134-5610
Phone: (770) 489-5000
Fax: (770) 489-0305
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
XIANGDONG YOU
PRESIDENT
Phone: (770) 489-5000
Updated
Identifiers

Identifiers for CLASSICARE INTERNAL MEDICINE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERAETNA7676325
OTHERBCBS52895315
OTHERBEECH STREET21232609899
OTHERCIGNA3462913
OTHERFIRST HEALTHCARE2089568
OTHERGREAT-WEST782253003
OTHERKAISER6104
OTHERMEDICARE RAILROADP00242355
OTHERTRICARE258835797
OTHERUNITED HEALTH CARE0403355
OTHERWELLCARE OF GEORGIAGA320129
MEDICAIDGA000934007E
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)
GA 050465

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.