Basic Information
Provider Information | |||||||||
NPI: | 1306947403 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | APPIAH-PIPPIM | ||||||||
FirstName: | CATHERINE | ||||||||
MiddleName: | E | ||||||||
NamePrefix: | DR. | ||||||||
NameSuffix: |   | ||||||||
Credential: | MD, FACP | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: | APALOO | ||||||||
OtherFirstName: | CATHERINE | ||||||||
OtherMiddleName: | E | ||||||||
OtherNamePrefix: | DR. | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: | MD, FACP | ||||||||
OtherLastNameType: | 1 | ||||||||
Mailing Information | |||||||||
Address1: | 2727 PACES FERRY ROAD | ||||||||
Address2: | SUITE 1-1100 (ATTENTION DENISE) | ||||||||
City: | ATLANTA | ||||||||
State: | GA | ||||||||
PostalCode: | 30339 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 4702713421 | ||||||||
FaxNumber: |   | ||||||||
Practice Location | |||||||||
Address1: | 1500 OGLETHORPE AVE | ||||||||
Address2: | STE 600F | ||||||||
City: | ATHENS | ||||||||
State: | GA | ||||||||
PostalCode: | 306062179 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 7065482133 | ||||||||
FaxNumber: | 7065487153 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 09/25/2006 | ||||||||
LastUpdateDate: | 06/12/2018 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | 035467 | CT | N |   | Allopathic & Osteopathic Physicians | Internal Medicine |   | 207R00000X | 071964 | GA | Y |   | Allopathic & Osteopathic Physicians | Internal Medicine |   |
ID Information
ID | Type | State | Issuer | Description | 110009013 | 05 | CT |   | MEDICAID | 003150662 | 05 | GA |   | MEDICAID |