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

Dr. Thomas Middour, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1841618311

Dr. Thomas Middour, MD is a Cardiac Electrophysiology in Lawrenceville, Georgia. Graduated from Emory University School of Medicine in 2014, 12 years ago. Practices with Northside Cv Professional Services LLC, a 53-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
12
Trained at
Emory University School of Medicine
Licensed in
GA
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

755 Walther Rd
Lawrenceville, GA 30046-8725
Phone: (678) 272-3699
Fax: (770) 290-8084
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Cardiac Electrophysiology Physician (primary) Taxonomy 207RC0001X · Licence 86211 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1841618311
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2014
Last updated in NPPESJuly 19, 2022
Certification dateJuly 19, 2022
Mailing address755 Walther Rd, Lawrenceville, GA 30046-8725

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIAC ELECTROPHYSIOLOGY
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Northside Cv Professional Services Llc — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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