NPI age
11 years
Enumerated 2015-02-06
● Active Type 2 · Organization
Modern Internal Medicine
Modern Internal Medicine is 1 of 661 general practice organizations in Georgia.
Primary specialty
General Practice
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Green
Ceo
Last NPPES update
2015-02-06
Source: monthly bulk 2026-05
How this organization compares
Across 661 active general practice providers in Georgia.
NPI age
11 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2015 → 2026
2015-02Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
2457 Martin Luther King JR Dr Sw, Suite A
Atlanta, GA 303111712
Mailing address
2457 Martin Luther King JR Dr Sw, Suite A
Atlanta, GA 303111712
Authorized official
Deandre Green
Ceo
📞 4043688655
Specialties
-
General Practice PrimaryA 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.
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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.