Main Street Internal Medicine & Pediatrics PC
NPI 1619155306 · Pediatrics Physician · Alpharetta, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Main Street Internal Medicine & Pediatrics PC is a Pediatrics Physician organization in Alpharetta, GA (NPI 1619155306).
Provider details
- NPI number
- 1619155306
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Maribel Angka Servera, Physician(678) 205-2437
- License
- 047657 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
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
Mailing address
Other names (DBA / former)
- Doing business as
- Main Street Pediatrics PC
Registry dates
- Enumerated
- 2008-02-05
- Last updated
- 2009-01-22
Frequently asked questions
- What is Main Street Internal Medicine & Pediatrics PC's NPI number?
- Main Street Internal Medicine & Pediatrics PC's National Provider Identifier (NPI) is 1619155306, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Main Street Internal Medicine & Pediatrics PC?
- Main Street Internal Medicine & Pediatrics PC is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is Main Street Internal Medicine & Pediatrics PC located?
- Main Street Internal Medicine & Pediatrics PC's practice location on file with NPPES is 401 S Main St, Alpharetta, GA 30009-7960.
- What is Main Street Internal Medicine & Pediatrics PC's phone number?
- The practice phone number listed in the NPPES registry for Main Street Internal Medicine & Pediatrics PC is (678) 205-2437.
- Does Main Street Internal Medicine & Pediatrics PC accept Medicare?
- Main Street Internal Medicine & Pediatrics PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Main Street Internal Medicine & Pediatrics PC?
- The authorized official listed on Main Street Internal Medicine & Pediatrics PC's NPPES record is Maribel Angka Servera, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Main Street Internal Medicine & Pediatrics PC's NPI active?
- Yes — Main Street Internal Medicine & Pediatrics PC's NPI (1619155306) is active in the NPPES registry as of the last update on 2009-01-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.