Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Modern Internal Medicine

Organization General Practice Physician · NPI 1982095360

Modern Internal Medicine is a General Practice Physician in Atlanta, Georgia. Registered with an NPI since 2015.

In the registry since
2015

Practice location Address checks out

2457 Martin Luther King Jr Dr SW Ste A
Atlanta, GA 30311-1712
Phone: (404) 368-8655
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X

Record details

NPI number1982095360
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Deandre Green — Ceo · (404) 368-8655
NPI enumeratedFebruary 6, 2015
Last updated in NPPESFebruary 6, 2015
Mailing address2457 Martin Luther King Jr Dr Sw, Suite A, Atlanta, GA 30311-1712

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