IMED SURGICAL OF ATLANTA PC – NPI #1215587670
Surgery

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

IMED SURGICAL OF ATLANTA PC is a surgeon located in ATLANTA, GA. NPPES has assigned the NPI number 1215587670 to IMED SURGICAL OF ATLANTA PC on September 18, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery.

The NPI profile was last updated on Sep 18, 2025. 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 IMED SURGICAL OF ATLANTA PC below.

NPI Profile for
IMED SURGICAL OF ATLANTA PC

NPI Number
1215587670
Enumeration Date

(more than 6 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
IMED SURGICAL OF ATLANTA PC
Primary location
1 BALTIMORE PL NW STE 400
ATLANTA, GA 30308-2117
Phone: (404) 480-4886 Fax:
Mailing address
113 E 39TH ST
NEW YORK, NY 10016-0968
Phone: (212) 223-0716 Fax: (917) 791-9672
Organization Subpart
No
Authorized Official
JENNIFER MYERS
COMPLIANCE ADMINISTRATOR
Phone: (631) 479-3496
Updated
Certification Date
Sep 18, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for IMED SURGICAL OF ATLANTA PC

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.

DescriptionIssuerStateIdentifier
OTHERNANA
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
208600000X
- Surgery (Primary)

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.