Active NPI
American Professional Associates LLC
- Radiation Oncology Physician
- East Point, GA
National Provider Identifier
1003324187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- AMERICAN PROFESSIONAL ASSOCIATES LLC
- Practice address
- 1136 Cleveland Ave Ste 119
East Point, GA 30344-3618 - Phone
- (404) 522-6569
- Fax
- (404) 522-8265
- NPI assigned
- Jan 11, 2018
- Last updated
- Aug 23, 2022
- Organization subpart
- Yes
- Parent organization
- AMERICAN PROFESSIONAL ASSOCIATES LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael L. McCord
- Title
- Ceo
- Phone
- (770) 350-0126
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | NU | Primary |
Addresses
Primary practice location
1136 Cleveland Ave Ste 119
East Point, GA 30344-3618
Mailing address
PO Box 745766
Atlanta, GA 30374-5766
Phone (770) 350-0126
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000136903AA | Medicaid | GA |
Other names 1
- Atlanta Oncology Associates at South Fulton
National Provider Directory
National Provider Directory- Tax ID family
- American Prof Associates
- Part of
- American Prof Associates
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1661212800000",
"number": "1003324187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 745766",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303745766",
"telephone_number": "770-350-0126",
"fax_number": "770-515-9502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1136 CLEVELAND AVE STE 119",
"city": "EAST POINT",
"state": "GA",
"postal_code": "303443618",
"telephone_number": "404-522-6569",
"fax_number": "404-522-8265"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMERICAN PROFESSIONAL ASSOCIATES LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AMERICAN PROFESSIONAL ASSOCIATES LLC",
"enumeration_date": "2018-01-11",
"last_updated": "2022-08-23",
"certification_date": "2022-08-23",
"status": "A",
"authorized_official_last_name": "MCCORD",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "770-350-0126",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000136903AA",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Atlanta Oncology Associates at South Fulton",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in East Point, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.