Organization Active NPI

Suburban Home Visits MHT, LLC

  • Internal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1033589171
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35763 Issued in GA
Legal business name
SUBURBAN HOME VISITS MHT, LLC
Practice address
2000 Riveredge Pkwy
Suite 104
Atlanta, GA 30328-4694
Phone
(469) 307-5810
Fax
(877) 489-3949
NPI assigned
Oct 1, 2015
Last updated
Apr 25, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Authorized official

Name
Dr. Emily Jordan, MD
Title
VP of Payor Opperations
Phone
(469) 307-5810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35763 GA Primary

Addresses

Primary practice location

2000 Riveredge Pkwy
Suite 104
Atlanta, GA 30328-4694

Mailing address

1575 Heritage Dr
Suite 205
McKinney, TX 75069-3288
Phone (469) 307-5810

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1443657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1033589171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 HERITAGE DR",
            "address_2": "SUITE 205",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750693288",
            "telephone_number": "469-307-5810",
            "fax_number": "877-489-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 RIVEREDGE PKWY",
            "address_2": "SUITE 104",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284694",
            "telephone_number": "469-307-5810",
            "fax_number": "877-489-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN HOME VISITS MHT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-01",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "JORDAN",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "VP OF PAYOR OPPERATIONS",
        "authorized_official_telephone_number": "469-307-5810",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "35763",
            "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 Apr 25, 2016; 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.