South Metro Immediate Care Center

Primary specialty

ParamedicTaxonomy code 146L00000X

License

27494 Issued in GA

Legal business name

SOUTH METRO IMMEDIATE CARE CENTER

Practice address

2841 Greenbriar Pkwy SW
Suite 126
Atlanta, GA 30331-2620

Phone

(404) 346-7162

Fax

(404) 346-7207

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Helena K Bentley, MDNPI 1881632644

Title

Owner

Phone

(404) 346-7162

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Helena K Bentley, M.D.

  • Pediatrics Physician
  • College Park, GA
  • NPI 1881632644
  NPD (past) Authorized official

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1053420109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2841 GREENBRIAR PKWY SW",
            "address_2": "SUITE 126",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312620",
            "telephone_number": "404-346-7162",
            "fax_number": "404-346-7207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2841 GREENBRIAR PKWY SW",
            "address_2": "SUITE 126",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312620",
            "telephone_number": "404-346-7162",
            "fax_number": "404-346-7207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH METRO IMMEDIATE CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BENTLEY",
        "authorized_official_first_name": "HELENA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-346-7162",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "GA",
            "license": "27494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Paramedic in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Paramedic in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.