Morehouse Healthcare, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

MOREHOUSE HEALTHCARE, INC.

Practice address

1800 Howell Mill Rd NW
Suite 275
Atlanta, GA 30318-2538

Phone

(404) 756-1400

Fax

(404) 756-1402

NPI assigned

Aug 21, 2015

Last updated

Mar 10, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jasmine Bajnath

Title

Credentialing Manager

Phone

(404) 756-5752

Specialties & licenses 15

Addresses

Tax ID family

Morehouse Healthcare Inc9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

• Morehouse Healthcare, Inc.

  dba Morehouse Healthcare Health & Wellness Center (2nd floor)

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1013510403
  NPD tax ID
• Morehouse Healthcare, Inc.

  dba Student Employee Health @ Morehouse Healthcare

  • Student in an Organized Health Care Education/Training Program
  • Atlanta, GA
  • NPI 1285137927
  NPD tax ID
• Morehouse Healthcare, Inc.

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1285813212
  NPD tax ID
• Morehouse Healthcare, Inc.

  • Pediatrics Physician
  • Atlanta, GA
  • NPI 1730556275
  NPD tax ID
• Morehouse Healthcare, Inc.

  dba Morehouse Healthcare Student Health & Wellness Center (3rd floor)

  • Student in an Organized Health Care Education/Training Program
  • Atlanta, GA
  • NPI 1861094989
  NPD tax ID
• Morehouse Healthcare, Inc.

  dba Morehouse Healthcare Imaging Services (3rd floor)

  • Body Imaging Physician
  • Atlanta, GA
  • NPI 1942802061
  NPD tax ID
• Morehouse Medical Associate

  • Primary Care Clinic/Center
  • East Point, GA
  • NPI 1659401487
  NPD tax ID
• MSM Health Equity for All Lives Student-Run Free Clinic

  • Primary Care Clinic/Center
  • Atlanta, GA
  • NPI 1356935639
  NPD tax ID

Locations

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615334400000",
    "number": "1053788398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 WESTVIEW DR SW STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101458",
            "telephone_number": "404-756-5752",
            "fax_number": "404-756-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HOWELL MILL RD NW",
            "address_2": "SUITE 275",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182538",
            "telephone_number": "404-756-1400",
            "fax_number": "404-756-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOREHOUSE HEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-21",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A",
        "authorized_official_last_name": "BAJNATH",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "404-756-5752"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxemillian J Morbidelli
• More Than Ready Company LLC
• Rebecca S More, PHD
• Nadia Carole Moreau, RN
• Morehouse Healthcare, Inc. (Morehouse Healthcare Health & Wellness Center (2nd floor))
• Morehouse Healthcare, Inc. (Student Employee Health @ Morehouse Healthcare)
• Morehouse Healthcare, Inc.
• Morehouse Healthcare, Inc.
• Morehouse Healthcare, Inc.
• Morehouse Healthcare, Inc. (Morehouse Healthcare Student Health & Wellness Center (3rd floor))

• Internal Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Internal Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.