Healthcare Provider Details

I. General information

NPI: 1881481059
Provider Name (Legal Business Name): JOSHUA SAMSON APPEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/22/2025
Last Update Date: 06/21/2026
Certification Date: 06/21/2026
Deactivation Date: 02/02/2026
Reactivation Date: 05/15/2026

III. Provider practice location address

2675 N DECATUR RD FL 6
DECATUR GA
30033-6131
US

IV. Provider business mailing address

2675 N DECATUR RD FL 6
DECATUR GA
30033-6131
US

V. Phone/Fax

Practice location:
  • Phone: 404-501-7490
  • Fax: 404-501-7430
Mailing address:
  • Phone: 404-501-7490
  • Fax: 404-501-7430

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License Number111910
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number111910
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: