Active NPI
Center for Colorectal Care LLC
- Colon & Rectal Surgery Physician
- Snellville, GA
National Provider Identifier
1003855917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- Legal business name
- CENTER FOR COLORECTAL CARE LLC
- Practice address
- 1800 Tree LN
Suite 270
Snellville, GA 30078-2016 - Phone
- (678) 344-6303
- NPI assigned
- Jun 6, 2006
- Last updated
- Aug 29, 2007
- 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
- Mark Pickett
- Title
- VP
- Phone
- (678) 344-6303
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Colon & Rectal Surgery Physician | 208C00000X | NU | Primary |
Addresses
Primary practice location
1800 Tree LN
Suite 270
Snellville, GA 30078-2016
Mailing address
1800 Tree LN
Suite 270
Snellville, GA 30078-2016
Phone (678) 344-6303
National Provider Directory
National Provider DirectoryLocations
1800 Tree Ln
Ste 270
Snellville, GA 30078
Phone (678) 344-6303
1800 Tree Ln
Ste 270A
Snellville, GA 30078
Phone (678) 344-6303
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Colon & Rectal Surgery Physician
- Boise, ID
- NPI 1912992249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1188345600000",
"number": "1003855917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 TREE LN",
"address_2": "SUITE 270",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300782016",
"telephone_number": "678-344-6303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 TREE LN",
"address_2": "SUITE 270",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300782016",
"telephone_number": "678-344-6303"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTER FOR COLORECTAL CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-06",
"last_updated": "2007-08-29",
"status": "A",
"authorized_official_last_name": "PICKETT",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "678-344-6303"
},
"taxonomies": [
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.