Organization
INFECTIOUS DISEASE GROUP OF ATLANTA, LLC
Active
Organization
INFECTIOUS DISEASE GROUP OF ATLANTA, LLC
Active
Other names
ID Group of Atlanta, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN P OUDERKIRK M.D. (OWNER)
(404) 588-4680
Entity
Organization
Contact information
Practice address
735 PIEDMONT AVE NE, ATLANTA, GA 30308-1416
(404) 588-4680
(404) 588-4692
Mailing address
735 PIEDMONT AVE NE, ATLANTA, GA 30308-1416
(404) 588-4680
(404) 588-4692
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
055003616A
—
GA
01
—
11D1023598
CLIA IDENTIFICATION #
—
Enumeration date
11/07/2006
Last updated
07/06/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up