Organization Active NPI

Atlanta Men's Clinic

  • Specialist
  • Atlanta, GA
National Provider Identifier
1023744422
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1255728994OtherGANPI

Electronic endpoints 3

TypeEndpointUseAffiliation
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 Directory

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.

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

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.

Verify at the official NPI Registry.