Organization Active NPI

American Professional Associates LLC

  • Radiation Oncology Physician
  • East Point, GA
National Provider Identifier
1003324187
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
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, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
AMERICAN PROFESSIONAL ASSOCIATES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000136903AAMedicaidGA

Other names 1

  • Atlanta Oncology Associates at South Fulton Other name

National Provider Directory

National Provider Directory
Tax ID family
American Prof Associates8 organizations share this tax ID, including this one
Part of
American Prof Associates

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.