NPI age
7 years
Enumerated 2019-03-26
● Active Type 2 · Organization
Idc Medical Llc
Idc Medical Llc is 1 of 414 internal medicine organizations in Georgia.
Primary specialty
Internal Medicine
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Stellbauer
Ceo
Last NPPES update
2022-09-09
Source: monthly bulk 2026-05
How this organization compares
Across 414 active internal medicine providers in Georgia.
NPI age
7 years
↓ 11 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2019 → 2026
2019-03Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
5400 Laurel Springs Pkwy Ste 1404
Suwanee, GA 300246098
Mailing address
5400 Laurel Springs Pkwy Ste 1404
Suwanee, GA 300246098
Authorized official
John Kyle Stellbauer
Ceo
📞 6783472153
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Kimberly Paris, APRN, FNP-BC Nurse Practitioner NPI 1144756255
- Andrew Pugliese, MD Internal Medicine NPI 1942258314
- Marissa Sheridan, NP-C Nurse Practitioner NPI 1427344746
Specialties
-
Internal Medicine PrimaryAn internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients...
Practice context
Multi-provider organization. 3 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 →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.