Active NPI
Drow-Optimum Multispecialty
- Clinical Medical Laboratory
- Decatur, GA
National Provider Identifier
1013444645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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, 2022
- 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
- Joni D Donnell
- Title
- Credential Manager
- Phone
- (832) 993-8374
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Medical Physician Assistant
- Hampton, GA
- NPI 1518284884
-
- Vascular Surgery Physician
- Pinehurst, NC
- NPI 1013210459
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.