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

Nouveau Medic LLC

Organization Adolescent Medicine (Family Medicine) Physician · NPI 1104100395

Nouveau Medic LLC is an Adolescent Medicine (Family Medicine) Physician in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2011.

Licensed in
GA
In the registry since
2011
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

600 Phipps Blvd NE Apt 1304
Atlanta, GA 30326-3342
Phone: (678) 653-0045
Fax: (404) 393-3640
Show map & directions

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

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Adolescent Medicine (Family Medicine) Physician Taxonomy 207QA0000X · Licence 051126 (GA)
Adult Medicine Physician Taxonomy 207QA0505X · Licence 051126 (GA)
Clinical & Laboratory Immunology (Internal Medicine) Physician Taxonomy 207RI0001X

Record details

NPI number1104100395
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joy Edwards — Clinical Manager · (678) 653-0045
NPI enumeratedOctober 5, 2011
Last updated in NPPESFebruary 1, 2022
Certification dateFebruary 1, 2022
Mailing address600 Phipps Blvd Ne Apt 1304, Atlanta, GA 30326-3342

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