NPI age
5 years
Enumerated 2020-08-10
● Active Type 2 · Organization
Subpart
Phynova Mso, Llc
Phynova Mso, Llc is 1 of 1881 specialist organizations in Georgia.
Primary specialty
Specialist
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Poindexter
Chief Executive Officer
Last NPPES update
2020-08-10
Source: monthly bulk 2026-05
How this organization compares
Across 1881 active specialist providers in Georgia.
NPI age
5 years
↓ 14 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 7% of peers with subspecialties
NPI lifetime · 2020 → 2026
2020-08Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
1718 Peachtree St Nw Ste 380
Atlanta, GA 303092498
Mailing address
Po Box 54157
Atlanta, GA 303080157
Authorized official
Laverne W Poindexter
Chief Executive Officer
📞 7702705229
Specialties
-
Specialist PrimaryAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
-
General PracticeA physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Practice context
Single-site organization. Only one practice location on file.
Subpart of Pmr Holding Company, Llc.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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