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Eastside Internal Medicine, LLC

Legal Medicine in Conyers, GA · enumerated 2007 · authorized official Henrietta Maddox, Office Manager.

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

National Provider Identifier

1932256526

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Registry record

Entity type Organization (Type 2)
Legal business name Eastside Internal Medicine, LLC
Practice address 2080 Eastside Dr, Suite A, Conyers, GA, 30013
Phone (678) 625-7800
Fax (678) 625-7888
Enumeration date Jan 4, 2007
Last updated in NPPES Jul 21, 2022

Taxonomy & classification

173000000X Legal Medicine Other Service Providers Primary

Authorized official

Name Henrietta Maddox
Title Office Manager
Phone (678) 625-7800

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

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Eastside Internal Medicine, LLC?
Eastside Internal Medicine, LLC is registered in NPPES as a Legal Medicine (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-07-21.