Atlanta Clinical Research Centers LLC

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

Legal business name

ATLANTA CLINICAL RESEARCH CENTERS LLC

Practice address

5673 Peachtree Dunwoody Rd Ste 440a
Atlanta, GA 30342-1797

Phone

(404) 296-1130

Fax

(404) 600-4466

NPI assigned

Jan 16, 2020

Organization subpart

Yes

Parent organization

ATLANTA CLINICAL RESEARCH CENTERS LLCAs reported in NPPES

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

Authorized official

Name

Dr. Bobby V Khan, MDNPI 1306935283

Title

Medical Director

Phone

(404) 296-1130

Specialties & licenses 1

Addresses

Other names 1

• Comprehensive Cardiovascular and Medical Care of Georgia Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Atlanta Clinical Research Centers LLC

  • Internal Medicine Physician
  • Alpharetta, GA
  • NPI 1114377025

  O20160801001257

  Same enrollment

Part of

Atl Clin Research CNTR LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Atlanta Clinical Research Centers LLC

  • Internal Medicine Physician
  • Alpharetta, GA
  • NPI 1114377025
  NPPES parent name

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bobby V Khan, M.D.

  • Cardiovascular Disease Physician
  • Atlanta, GA
  • NPI 1306935283
  NPD Authorized official
• Saravanan Kuppuswamy, M.D.

  • Cardiovascular Disease Physician
  • Gainesville, GA
  • NPI 1093770844
  NPD
• Syed Tanvir Rahman, M.D.

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1568420081
  NPD

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

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579132800000",
    "number": "1033749288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5673 PEACHTREE DUNWOODY RD STE 440",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421797",
            "telephone_number": "404-296-1130",
            "fax_number": "404-600-4466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5673 PEACHTREE DUNWOODY RD STE 440A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421797",
            "telephone_number": "404-296-1130",
            "fax_number": "404-600-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA CLINICAL RESEARCH CENTERS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTA CLINICAL RESEARCH CENTERS LLC",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "BOBBY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "404-296-1130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Comprehensive Cardiovascular and Medical Care of Georgia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Public Health & General Preventive Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Public Health & General Preventive Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.