Organization Active NPI

Atlanta Health Center PC

  • Pain Clinic/Center
  • Tucker, GA
National Provider Identifier
1063110328
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
ATLANTA HEALTH CENTER PC
Practice address
4905 Lavista Rd Ste B
Tucker, GA 30084-4409
Phone
(770) 680-5740
Fax
(888) 418-8738
NPI assigned
Feb 16, 2023
Last updated
Jun 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Authorized official

Name
Dr. Ohad Kott, GENERAL PRACTIONERNPI 1699333179
Title
Owner
Phone
(770) 680-5740

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Clinic/Center 261QP3300X Primary
Durable Medical Equipment & Medical Supplies 332B00000X
General Practice Physician 208D00000X

Addresses

Primary practice location

4905 Lavista Rd Ste B
Tucker, GA 30084-4409

Mailing address

4905 Lavista Rd Ste B
Tucker, GA 30084-4409
Phone (770) 680-5740

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240422000125 GA Part B Supplier - Clinic/Group Practice 4789023979 Receives reassigned benefits from 1 practitioner
Practice locations: Tucker, GA
O20250527001528 GA DME Supplier - Physician - General Practice 4789023979 Practice locations: Tucker, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2298343Atlanta Health Center PC4905 Lavista Road, Suite B, Tucker, GA 30084Certificate of waiverJan 31, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1676505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1063110328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 LAVISTA RD STE B",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844409",
            "telephone_number": "770-680-5740",
            "fax_number": "888-418-8738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 LAVISTA RD STE B",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300844409",
            "telephone_number": "770-680-5740",
            "fax_number": "888-418-8738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA HEALTH CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-16",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A",
        "authorized_official_last_name": "KOTT",
        "authorized_official_first_name": "OHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-680-5740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "GENERAL PRACTIONER"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.