Organization Active NPI

Medhealth Services, LLC

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Atlanta, GA
National Provider Identifier
1013122118
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P2900X
License
036000 Issued in GA
Legal business name
MEDHEALTH SERVICES, LLC
Practice address
4780 Ashford Dunwoody Rd Ste A418
Atlanta, GA 30338-5504
Phone
(866) 986-2983
Fax
(866) 433-1426
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Carl Shenkman, M.D.
Title
Medical Director
Phone
(866) 986-2983

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Psychiatry & Neurology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2084P2900X 036000 GA Primary

Addresses

Primary practice location

4780 Ashford Dunwoody Rd Ste A418
Atlanta, GA 30338-5504

Mailing address

4780 Ashford Dunwoody Rd Ste A418
Atlanta, GA 30338-5504
Phone (866) 986-2983

National Provider Directory

National Provider Directory
Tax ID family
Med Health Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

4780 Ashford Dunwoody Rd
Ste A418
Atlanta, GA 30338
Phone (866) 986-2983

4780 Ashford Dunwoody Rd
#A418
Atlanta, GA 30338

NPI Registry JSON

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

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013122118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780 ASHFORD DUNWOODY RD STE A418",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303385504",
            "telephone_number": "866-986-2983",
            "fax_number": "866-433-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4780 ASHFORD DUNWOODY RD STE A418",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303385504",
            "telephone_number": "866-986-2983",
            "fax_number": "866-433-1426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDHEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHENKMAN",
        "authorized_official_first_name": "CARL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "866-986-2983",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "GA",
            "license": "036000",
            "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 Aug 22, 2020; 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.