Prodigy Health Systems Inc.,

Primary specialty

AmbulanceTaxonomy code 341600000X

License

033-32 Issued in GA

Legal business name

PRODIGY HEALTH SYSTEMS INC.,

Practice address

2670 Cobb Pkwy NW
Kennesaw, GA 30152-3443

Phone

(770) 891-3346

Fax

(770) 514-9665

NPI assigned

Feb 3, 2011

Last updated

Feb 3, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Amir N Adiri

Title

President

Phone

(770) 891-3346

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296691200000",
    "number": "1003112392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 COBB PKWY NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301523443",
            "telephone_number": "770-891-3346",
            "fax_number": "770-514-9665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 COBB PKWY NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301523443",
            "telephone_number": "770-891-3346",
            "fax_number": "770-514-9665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRODIGY HEALTH SYSTEMS INC.,",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-03",
        "last_updated": "2011-02-03",
        "status": "A",
        "authorized_official_last_name": "ADIRI",
        "authorized_official_first_name": "AMIR",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-891-3346",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "341600000X",
            "taxonomy_group": "",
            "desc": "Ambulance",
            "state": "GA",
            "license": "033-32",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ambulance in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Ambulance in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.