NPI age
20 years
Enumerated 2005-06-27
● Active Type 2 · Organization
Stone Mountain Immediate Medical Care, Inc.
Stone Mountain Immediate Medical Care, Inc. is 1 of 128 health maintenance organization organizations in Georgia.
Primary specialty
Health Maintenance Organization
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Davis
Credentialing Mgr
Last NPPES update
2022-11-20
Source: monthly bulk 2026-05
How this organization compares
Across 128 active health maintenance organization providers in Georgia.
NPI age
20 years
↑ 7 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2005 → 2026
2005-06Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
833 N Hairston Rd
Stone Mountain, GA 300833423
Mailing address
833 N Hairston Rd
Stone Mountain, GA 300833423
Authorized official
Doris Lynn Davis
Credentialing Mgr
📞 7708795553
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Madhusudan Chandora, M.D. Internal Medicine NPI 1376682971
- Dawn Chen, PA-C Physician Assistant NPI 1992844526
- Seyed Jazayeri, PA-C Physician Assistant NPI 1437298056
- Jessica Peeler, FNP-C Nurse Practitioner NPI 1164979852
Specialties
-
Health Maintenance Organization Primary(1) A form of health insurance in which its members prepay a premium for the HMO's health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 000703359I |
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.