Polascik LLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

POLASCIK LLC

Practice address

2801 N Decatur Rd Ste 200
Decatur, GA 30033-5936

Phone

(404) 296-5005

NPI assigned

Feb 19, 2019

Organization subpart

No

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

Authorized official

Name

Christopher Polascik, PA-C

Title

Physician Assistant

Phone

(678) 763-2483

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550534400000",
    "number": "1053877787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 HUFF RD NW APT 4055",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303184373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 N DECATUR RD STE 200",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335936",
            "telephone_number": "404-296-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLASCIK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-19",
        "last_updated": "2019-02-19",
        "status": "A",
        "authorized_official_last_name": "POLASCIK",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
        "authorized_official_telephone_number": "678-763-2483",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna V. Plotkina, PHARMD
• Ashley M Plummer
• PMR Georgia Holding, LLC
• Podiatric Physicians of Georgia PC
• Hannah Poe, PT, DPT
• Christopher Polascik
• George Francis Policastro Jr., DDS
• Reynaldo Antoine Polk, M.D
• Deborah C Pollack, MD
• Lori A Pollack, M.D., M.P.H.

• Physician Assistant in Decatur, GA
• Providers in Decatur, GA by specialty
• Physician Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.