NPIMap

Organization Active NPI

South Fulton Health Center

  • Public Health or Welfare Agency
  • Atlanta, GA
National Provider Identifier
1043356280
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
SOUTH FULTON HEALTH CENTER
Practice address
1225 Capitol Avenue, SE
Atlanta, GA 30315
Phone
(404) 730-5406
Fax
(404) 224-3102
NPI assigned
Jan 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Steven R Katkowsky, M.D.
Title
Health Director
Phone
(404) 730-1202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

1225 Capitol Avenue, SE
Atlanta, GA 30315

Mailing address

99 Jesse Hill Jr. Drive
Room 402
Atlanta, GA 30303
Phone (404) 730-1217

National Provider Directory

National Provider Directory

Locations

3155 Royal Dr
Ste 125
Alpharetta, GA 30022
Phone (404) 332-1860

3699 Bakers Ferry Rd SW
Atlanta, GA 30331
Phone (404) 699-4215

1855 Jonesboro Rd SE
Atlanta, GA 30337
Phone (404) 613-1220

1225 Capitol Ave SW
Atlanta, GA 30315
Phone (404) 613-1220

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043356280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 JESSE HILL JR. DRIVE",
            "address_2": "ROOM 402",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30303",
            "telephone_number": "404-730-1217",
            "fax_number": "404-730-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 CAPITOL AVENUE, SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30315",
            "telephone_number": "404-730-5406",
            "fax_number": "404-224-3102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH FULTON HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KATKOWSKY",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "404-730-1202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "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 Aug 22, 2020; 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.