OrganizationActive
Stanford Medical Group, Inc
NPI 1457521940 · General Practice Physician · Atlanta, GA
Provider details
- NPI number
- 1457521940
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jeanette Junco Patino, Owner(786) 837-1175
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
142 Mitchell St Sw
Suite 200
Atlanta, GA 30303-3439
Phone: (404) 584-2105
Fax: (404) 584-2106
Street-level locationGet directions
Mailing address
142 Mitchell St Sw
Atlanta, GA 30303-3439
Registry dates
- Enumerated
- 2008-03-11
- Last updated
- 2008-06-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.