Active NPI
Atlanta Men's Clinic
- Specialist
- Atlanta, GA
National Provider Identifier
1023744422
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- ATLANTA MEN'S CLINIC
- Practice address
- 1800 Peachtree Rd NE Ste 660
Atlanta, GA 30309 - Phone
- (470) 589-7120
- Fax
- (844) 350-6954
- NPI assigned
- Jul 27, 2022
- Last updated
- Jan 19, 2024
- 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
- Diana Reeder, CCMA, CBCS
- Title
- Practice Administrator
- Phone
- (470) 589-7120
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | NU | Primary | |
| Internal Medicine Physician | 207R00000X | NU | ||
| Medical Specialty Clinic/Center | 261QM2500X | NU | ||
| Primary Care Clinic/Center | 261QP2300X | NU |
Addresses
Primary practice location
1800 Peachtree Rd NE Ste 660
Atlanta, GA 30309
Mailing address
4411 Suwanee Dam Rd Ste 440
Suwanee, GA 30024-8706
Phone (470) 589-7120
Other practice location 1
4411 Suwanee Dam Rd Ste 440
Suwanee, GA 30024-8706
Phone (470) 589-7120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255728994 | Other | GA | NPI |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | diana@atlantamensclinic.com | Direct | |
| Direct Messaging Address | rabah.syed@atlantamensclinic.com | Direct | |
| Direct Messaging Address | diana@atlantamensclinic.com | Direct |
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, 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": "1658880000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1705622400000",
"number": "1023744422",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4411 SUWANEE DAM RD STE 440",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300248706",
"telephone_number": "470-589-7120",
"fax_number": "844-350-6954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 PEACHTREE RD NE STE 660",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30309",
"telephone_number": "470-589-7120",
"fax_number": "844-350-6954"
}
],
"practiceLocations": [
{
"address_1": "4411 Suwanee Dam Rd Ste 440",
"address_purpose": "LOCATION",
"city": "Suwanee",
"state": "GA",
"postal_code": "300248706",
"country_code": "US",
"telephone_number": "470-589-7120",
"fax_number": "844-350-6954",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "ATLANTA MEN'S CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-27",
"last_updated": "2024-01-19",
"certification_date": "2024-01-17",
"status": "A",
"authorized_official_last_name": "REEDER",
"authorized_official_first_name": "DIANA",
"authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
"authorized_official_telephone_number": "470-589-7120",
"authorized_official_credential": "CCMA, CBCS"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1255728994",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "diana@atlantamensclinic.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4411 Suwanee Dam Rd Ste 440",
"city": "Suwanee",
"state": "GA",
"country_code": "US",
"postal_code": "300248706",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rabah.syed@atlantamensclinic.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4411 Suwanee Dam Rd Ste 440",
"city": "Suwanee",
"state": "GA",
"country_code": "US",
"postal_code": "300248706",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "diana@atlantamensclinic.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1800 Peachtree Rd NE Ste 660",
"city": "Atlanta",
"state": "GA",
"country_code": "US",
"postal_code": "30309",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Atlanta, GA
- Atlanta Medical Centerr
- Atlanta Medical Clinic L L C
- Atlanta Medical Clinic of Midtown LLC
- Atlanta Medical Day Spa
- Atlanta Medical Supplies
- Atlanta Mental Health & Wellness LLC
- Atlanta Metropolitan Medical Services LLC
- Atlanta Midtown Gynecology 2 LLC
- Atlanta Midtown Gynecology, Inc
- Atlanta Minimally Invasive Gynecologic Surgery Center,LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.