logo of North Fulton Internal Medicine Group | Roswell Doctors

2500 Hospital Boulevard, Suite 250
Roswell, GA 30076

Telephone: 770-442-1111
Fax: 770-740-2990

Bill Pay

Online Payment Service

North Fulton Internal Medicine Group now makes it even easier for our patients to pay for their medical care by offering secure, online bill payment. Simply complete the form below to enter your credit card and patient account information. Before you begin, please have your account information available. You will find your patient account information on the statement you received from our office. Once completed, you can print a receipt for your records. If you enter a valid email address, you will also receive a confirmation email that notifies you with either a successful receipt or an error message.

Credit Cards Accepted

Secured Site

Be assured that we have maximized your security and privacy by using SSL (Secure Socket Layer) to encrypt all of the information you enter into the “Online Bill Pay” form. The lock symbol at the bottom corner of your browser's status bar confirms that your information will be encrypted and secure during transmission.

For additional security, we do not store your credit card information online. As soon as your transaction is complete, your credit card information is removed from our website.


Patient Account Information
Patient Name:
Patient Account:
Date of Birth:
Telephone Number:
Email Address:
Comments:
Credit Card Information
First Name:
Last Name:
Street Address:
City:
State:
Zip Code:
Credit Card Type:
Credit Card Number:
Expiration Date: /
Credit Card CCV: (3 or 4 digit security code)
Payment Amount: