NPIMap

Organization Active NPI

Brian K. Nadolne, MD, PC

  • Family Medicine Physician
  • Marietta, GA
National Provider Identifier
1053598151
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
040748 Issued in GA
Legal business name
BRIAN K. NADOLNE, MD, PC
Practice address
1230 Johnson Ferry PL Ste H20
Marietta, GA 30068-2057
Phone
(770) 509-0017
Fax
(770) 971-7818
NPI assigned
Jan 31, 2008
Last updated
Apr 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Dr. Brian Keith Nadolne, MDNPI 1407805872
Title
President
Phone
(770) 509-0017

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 040748 GA Primary

Addresses

Primary practice location

1230 Johnson Ferry PL Ste H20
Marietta, GA 30068-2057

Mailing address

1230 Johnson Ferry PL Ste H20
Marietta, GA 30068-2057
Phone (770) 509-0017

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1201737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1053598151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 JOHNSON FERRY PL STE H20",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682057",
            "telephone_number": "770-509-0017",
            "fax_number": "770-971-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 JOHNSON FERRY PL STE H20",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682057",
            "telephone_number": "770-509-0017",
            "fax_number": "770-971-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN K. NADOLNE, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "NADOLNE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-509-0017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "040748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.