Eastside Internal Medicine, LLC
NPI 1932256526 · Legal Medicine · Conyers, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Eastside Internal Medicine, LLC is a Legal Medicine organization in Conyers, GA (NPI 1932256526).
Provider details
- NPI number
- 1932256526
- Entity type
- Organization
- Primary specialty
- Legal MedicineOther Service Providers
- Organization subpart
- No
- Authorized official
- Henrietta Maddox, Office Manager(678) 625-7800
Specialties & taxonomies
Other Service Providers
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2007-01-04
- Last updated
- 2022-07-21
Frequently asked questions
- What is Eastside Internal Medicine, LLC's NPI number?
- Eastside Internal Medicine, LLC's National Provider Identifier (NPI) is 1932256526, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eastside Internal Medicine, LLC?
- Eastside Internal Medicine, LLC is classified in the NPPES registry as Legal Medicine (Other Service Providers).
- Where is Eastside Internal Medicine, LLC located?
- Eastside Internal Medicine, LLC's practice location on file with NPPES is 2080 Eastside Dr, Conyers, GA 30013-1953.
- What is Eastside Internal Medicine, LLC's phone number?
- The practice phone number listed in the NPPES registry for Eastside Internal Medicine, LLC is (678) 625-7800.
- Does Eastside Internal Medicine, LLC accept Medicare?
- Eastside Internal Medicine, LLC 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 Eastside Internal Medicine, LLC?
- The authorized official listed on Eastside Internal Medicine, LLC's NPPES record is Henrietta Maddox, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eastside Internal Medicine, LLC's NPI active?
- Yes — Eastside Internal Medicine, LLC's NPI (1932256526) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.