Organization Active NPI

Regional Marietta Medical Center

  • Clinic/Center
  • Marietta, GA
National Provider Identifier
1053862169
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
RN 224384 Issued in GA
Legal business name
REGIONAL MARIETTA MEDICAL CENTER
Practice address
1469 Roswell Rd
Marietta, GA 30062-3668
Phone
(770) 509-2433
NPI assigned
Oct 24, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Authorized official

Name
Dr. Richard K Emery, DC
Title
Ceo
Phone
(770) 509-2433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X RN 224384 GA Primary

Addresses

Primary practice location

1469 Roswell Rd
Marietta, GA 30062-3668

Mailing address

293 Shiloh Manor Dr
Marietta, GA 30066-5913
Phone (765) 326-0148

National Provider Directory

National Provider Directory

Locations

1477 Roswell Rd
Ste 500
Marietta, GA 30062
Phone (770) 509-2433

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1053862169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 SHILOH MANOR DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300665913",
            "telephone_number": "765-326-0148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1469 ROSWELL RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300623668",
            "telephone_number": "770-509-2433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL MARIETTA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "EMERY",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-509-2433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "RN 224384",
            "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 Oct 24, 2016; 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.