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NPI · 1619155306 · NPPES-sourced

Main Street Internal Medicine & Pediatrics PC

ActivePediatrics
NPI Number
1619155306
Type 2 · Organisation
Taxonomy Code
208000000X
Contact
(678) 205-2437
License GA · 047388
Last Updated
Enumerated
Primary practice addressGA · 30009-7960
401 S Main St, Suite C5Alpharetta, GA 30009-7960
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About this NPIWhat this record shows.

NPI 1619155306 is registered to Main Street Internal Medicine & Pediatrics PC, a healthcare organisation classified as "Pediatrics" and located at 401 S Main St, Suite C5 in Alpharetta, Georgia. The organisation's authorised official is Maribel Angka Servera. The organisation has been enumerated in the NPI registry since 2008.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Main Street Internal Medicine & Pediatrics PC accepts. To confirm in-network status with your specific health plan, contact Main Street Internal Medicine & Pediatrics PC directly at (678) 205-2437.

Frequently asked

Yes. NPI 1619155306 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Pediatrics is the medical specialty focused on the health of infants, children, and adolescents through age 21.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (678) 205-2437.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Main Street Internal Medicine & Pediatrics PC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy208000000X
Last updated
Enumerated
StatusActive
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