Active NPI
Comfort Medical Center Phoenix Blvd, LLC
- Family Medicine Physician
- Atlanta, GA
National Provider Identifier
1003512500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- COMFORT MEDICAL CENTER PHOENIX BLVD, LLC
- Practice address
- 1903 Phoenix Blvd Ste 125
Atlanta, GA 30349-5754 - Phone
- (404) 982-4228
- Fax
- (404) 275-0676
- NPI assigned
- Feb 6, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Nakita Piper
- Title
- Healthcare Administrator
- Phone
- (678) 480-2529
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1903 Phoenix Blvd Ste 125
Atlanta, GA 30349-5754
Mailing address
1903 Phoenix Blvd Ste 125
Atlanta, GA 30349-5754
Phone (404) 982-4228
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Fayetteville, GA
- NPI 1457336935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675641600000",
"number": "1003512500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1903 PHOENIX BLVD STE 125",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303495754",
"telephone_number": "404-982-4228",
"fax_number": "404-275-0676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1903 PHOENIX BLVD STE 125",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303495754",
"telephone_number": "404-982-4228",
"fax_number": "404-275-0676"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMFORT MEDICAL CENTER PHOENIX BLVD, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-06",
"last_updated": "2023-02-06",
"certification_date": "2023-02-06",
"status": "A",
"authorized_official_last_name": "PIPER",
"authorized_official_first_name": "NAKITA",
"authorized_official_title_or_position": "HEALTHCARE ADMINISTRATOR",
"authorized_official_telephone_number": "678-480-2529",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.