OrganizationActive
Idc Medical LLC
NPI 1912468620 · Infectious Disease Physician · Suwanee, GA
Provider details
- NPI number
- 1912468620
- Entity type
- Organization
- Primary specialty
- Infectious Disease PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- John Stellbauer, Ceo(678) 347-2153
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
5400 Laurel Springs Pkwy Ste 1404
Suwanee, GA 30024-6098
Phone: (678) 347-2153
Approximate (ZIP-level) locationGet directions
Mailing address
5400 Laurel Springs Pkwy Ste 1404
Suwanee, GA 30024-6098
Registry dates
- Enumerated
- 2019-03-26
- Last updated
- 2022-09-09
- Certified
- 2022-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.