PREVENTCLINIC, INC. – NPI #1306346853
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

PREVENTCLINIC, INC. is a provider located in SANDY SPRINGS, GA. NPPES has assigned the NPI number 1306346853 to PREVENTCLINIC, INC. on February 20, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 8 years ago on Jul 18, 2018. 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 PREVENTCLINIC, INC. below.

NPI Profile for
PREVENTCLINIC, INC.

NPI Number
1306346853
Enumeration Date

(more than 8 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
PREVENTCLINIC, INC.
Primary location
6000 LAKE FORREST DR STE 540
SANDY SPRINGS, GA 30328
Phone: (470) 735-5045 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
DAVID MONTGOMERY
OWNER/ PHYSICIAN
Phone: (470) 735-5045
Updated
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
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)
405300000X
- Prevention Professional
174400000X
- Specialist

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.