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

Stanford Medical Group, Inc

Organization General Practice Physician · NPI 1457521940

Stanford Medical Group, Inc is a General Practice Physician in Atlanta, Georgia. Registered with an NPI since 2008.

In the registry since
2008
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

142 Mitchell St SW Ste 200
Atlanta, GA 30303-3439
Phone: (404) 584-2105
Fax: (404) 584-2106
Show map & directions

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

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X
Physical Therapist Taxonomy 225100000X

Record details

NPI number1457521940
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeanette Junco Patino — Owner · (786) 837-1175
NPI enumeratedMarch 11, 2008
Last updated in NPPESJune 5, 2008
Mailing address142 Mitchell St Sw, Suite 200, Atlanta, GA 30303-3439

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