Healthcare Provider Details

I. General information

NPI: 1528776358
Provider Name (Legal Business Name): NEXT STEP MEDICAL SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/10/2022
Last Update Date: 05/03/2025
Certification Date: 05/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4562 LAWRENCEVILLE HWY NW STE 104
LILBURN GA
30047-3650
US

IV. Provider business mailing address

355 AUTUMN BLUFF DR
LAWRENCEVILLE GA
30044-7432
US

V. Phone/Fax

Practice location:
  • Phone: 678-437-1659
  • Fax: 678-437-1340
Mailing address:
  • Phone: 678-437-1659
  • Fax: 678-437-1340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2083A0300X
TaxonomyAddiction Medicine (Preventive Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number
License Number State

VIII. Authorized Official

Name: MORIUM CHOWDHURY
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 678-437-1659