Organization Active NPI

West Atlanta Orthopaedic Center

  • Specialist
  • Douglasville, GA
National Provider Identifier
1063519544
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
16045 Issued in GA
Legal business name
WEST ATLANTA ORTHOPAEDIC CENTER
Practice address
8355 Cherokee Blvd., Suite 205
Douglasville, GA 30134
Phone
(404) 310-2726
NPI assigned
Sep 19, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Patty Foreman
Title
Office Manager
Phone
(404) 310-2726

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 16045 GA Primary

Addresses

Primary practice location

8355 Cherokee Blvd., Suite 205
Douglasville, GA 30134

Mailing address

P.O. Box 366
Douglasville, GA 30134

Other identifiers 1

IdentifierTypeStateIssuer
00064061CMedicaidGA

National Provider Directory

National Provider Directory

Locations

8355 Cherokee Blvd
Ste 205
Douglasville, GA 30134
Phone (404) 310-2726

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": "1158624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063519544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 366",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "30134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8355 CHEROKEE BLVD., SUITE 205",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "30134",
            "telephone_number": "404-310-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST ATLANTA ORTHOPAEDIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOREMAN",
        "authorized_official_first_name": "PATTY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "404-310-2726"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "16045",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00064061C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.