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Stone Mountain Immediate Medical Care, Inc.

Health Maintenance Organization in Stone Mountain, GA · enumerated 2005 · authorized official Doris Davis, Credentialing Mgr.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1578569323

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Registry record

Entity type Organization (Type 2)
Legal business name Stone Mountain Immediate Medical Care, Inc.
Practice address 833 N Hairston Rd, Stone Mountain, GA, 30083
Phone (770) 879-5553
Fax (770) 879-5592
Enumeration date Jun 27, 2005
Last updated in NPPES Nov 20, 2022

Taxonomy & classification

302R00000X Health Maintenance Organization Managed Care Organizations · License 038143 (GA) Primary
302R00000X Health Maintenance Organization Managed Care Organizations Secondary

Authorized official

Name Doris Davis
Title Credentialing Mgr
Phone (770) 879-5553

Other identifiers

Identifier Type State Issuer
000703359I Medicaid GA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-11-20. Verify at npiregistry.cms.hhs.gov.
Where is Stone Mountain Immediate Medical Care, Inc. located?
The practice location on file with NPPES is in Stone Mountain, GA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-11-20.