OrganizationActive
Midtown West Medical, PC
NPI 1689736654 · Internal Medicine Physician · Atlanta, GA
Provider details
- NPI number
- 1689736654
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kimball Johnson, Owner(404) 817-0062
- License
- GA32213 (GA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
957 W Marietta St Nw
Atlanta, GA 30318-5282
Phone: (404) 817-0062
Fax: (404) 817-0064
Street-level locationGet directions
Mailing address
957 W Marietta St Nw
Atlanta, GA 30318-5282
Registry dates
- Enumerated
- 2006-12-15
- Last updated
- 2012-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.