P Praxis·MD
● Active Type 2 · Organization

Classicare Medical Consult Pc, Inc

Internal Medicine·Douglasville, GA· NPI 1922130012 · Enumerated 2007 · 19 years on NPI
Classicare Medical Consult Pc, Inc is 1 of 5027 internal medicine organizations in Georgia.
NPI age
19 years
Enumerated 2007-03-12
Primary specialty
Internal Medicine
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
You
President
Last NPPES update
2019-09-17
Source: monthly bulk 2026-05

How this organization compares

Across 5027 active internal medicine providers in Georgia.

NPI age
19 years
≈ at median (18 yr)
Practice locations
2
1 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-03Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
4904 Timber Ridge Dr Ste 303
Douglasville, GA 301351831
📞 7704895000fax 7704890305
Mailing address
4904 Timber Ridge Dr Ste 303
Douglasville, GA 301351831
📞 7704895000fax 7704890305

Additional practice locations

1 secondary location on file with NPPES.

Location 2
6025 Professional Parkway, Suite 102
Douglasville, GA 301345610
📞 7704895000fax 7704890305

Authorized official

Xiangdong You, MD
President
📞 7704895000

Specialties

  • Internal Medicine Primary
    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
    GA license #050465 taxonomy 207R00000X

Identifiers

TypeValueNotes
01 2089568 FIRST HEALTHCARE
01 (GA) 320129 WELLCARE OF GEORGIA
05 (GA) 000934007E
01 52895315 BCBS
01 6104 KAISER
01 7676325 AETNA
01 3462913 CIGNA
01 P00242355 MEDICARE RAILROAD
01 0403355 UNITED HEALTH CARE
01 782253003 GREAT-WEST
01 21232609899 BEECH STREET
01 258835797 TRICARE

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Classicare Internal Medicine
    Type code 3 recorded 2019-09-17

Practice context

Multi-site organization. 1 additional practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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