Olan Healthcare Clinic

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

OLAN HEALTHCARE CLINIC

Practice address

7050 Jimmy Carter Blvd
Ste 212
Peachtree Corners, GA 30092-3257

Phone

(770) 441-9585

NPI assigned

Jan 18, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Andree Matthews

Title

Billing Manager

Phone

(678) 613-2971

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1003352774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 JIMMY CARTER BLVD",
            "address_2": "STE 212",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300923257",
            "telephone_number": "770-441-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 JIMMY CARTER BLVD",
            "address_2": "STE 212",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300923257",
            "telephone_number": "770-441-9585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OLAN HEALTHCARE CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "ANDREE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "678-613-2971",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Peachtree Corners, GA
• Providers in Peachtree Corners, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2017; 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.