| NPI | 1053305888 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2005-09-08 |
| Last Updated | 2013-10-29 |
| Mailing Address | 4799 Blue Ridge Dr, Suite 104 Blue Ridge, GA 30513-3240 United States Phone: (706) 946-4210 📍 View Map |
| Primary Practice Address | 101 Riverstone Vis, Suite 207 Blue Ridge, GA 30513-6648 United States Phone: (706) 964-4210 | Fax: (706) 964-4251 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | TN | 4047230 | - |
| MEDICAID | TN | 4047231 | - |
| MEDICAID | NC | 5905148 | - |
| MEDICAID | GA | 714558090A | - |
| MEDICAID | GA | 714558090B | - |
| MEDICAID | GA | 714558090C | - |
| MEDICAID | GA | 714558090D | - |
| MEDICAID | GA | 714558090G | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207R00000X – Internal Medicine | GA | 056720 |
| No | 207RP1001X – Internal Medicine, Pulmonary Disease | GA | 056720 |
| No | 207RS0012X – Internal Medicine, Sleep Medicine | GA | 056720 |
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About NPI 1053305888
Elias Georges Issa MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1053305888. The primary specialty listed is Internal Medicine. The provider is located in Blue Ridge, GA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-09-08. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1053305888?
NPI 1053305888 belongs to Elias Georges Issa MD, a Internal Medicine in Blue Ridge, GA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1053305888 active?
The current status of NPI 1053305888 in the NPPES registry is Active. The record was last updated on 2013-10-29.
What specialty is NPI 1053305888?
NPI 1053305888 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1053305888?
You can verify NPI 1053305888 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1053305888?
The primary practice address on file for NPI 1053305888 is 101 Riverstone Vis, Blue Ridge, GA 30513-6648. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1053305888 issued?
NPI 1053305888 was first issued (enumerated) on 2005-09-08. The NPPES record was last updated on 2013-10-29.
Practice Location Map
Elias Georges Issa is located at 101 Riverstone Vis, Blue Ridge, GA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Elias Georges Issa. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1053305888. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine | 056720 | GA |
| Internal Medicine, Pulmonary Disease | 056720 | GA |
| Internal Medicine, Sleep Medicine | 056720 | GA |