Organization Active NPI

Drow-Optimum Multispecialty

  • Clinical Medical Laboratory
  • Decatur, GA
National Provider Identifier
1013444645
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
DROW-OPTIMUM MULTISPECIALTY
Practice address
3009 Rainbow Dr Ste 139D
Decatur, GA 30034-1640
Phone
(770) 743-6585
NPI assigned
May 14, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Joni D Donnell
Title
Credential Manager
Phone
(832) 993-8374

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical & Laboratory Immunology (Allergy & Immunology) Physician 207KI0005X GA
Clinical Medical Laboratory 291U00000X NU Primary

Addresses

Primary practice location

3009 Rainbow Dr Ste 139D
Decatur, GA 30034-1640

Mailing address

3009 Rainbow Dr Ste 139D
Decatur, GA 30034-1640
Phone (770) 743-6585

National Provider Directory

National Provider Directory

Locations

3009 Rainbow Dr
Ste 139D
Decatur, GA 30034
Phone (770) 743-6585

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1494720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1013444645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3009 RAINBOW DR STE 139D",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300341640",
            "telephone_number": "770-743-6585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 RAINBOW DR STE 139D",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300341640",
            "telephone_number": "770-743-6585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DROW-OPTIMUM MULTISPECIALTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DONNELL",
        "authorized_official_first_name": "JONI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CREDENTIAL MANAGER",
        "authorized_official_telephone_number": "832-993-8374"
    },
    "taxonomies": [
        {
            "code": "207KI0005X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.