Active NPI
West Atlanta Orthopaedic Center
- Specialist
- Douglasville, GA
National Provider Identifier
1063519544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 16045
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00064061C | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Orthopaedic Surgery Physician
- Conyers, GA
- NPI 1184640997
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
- Wellstar North Douglas OB/GYN, LLC
- Wellstar Physicians Group Douglas Hospitalists, LLC
- Wellstreet of Georgia PC (Piedmont Urgent Care by Wellstreet)
- Alisha Welsh
- West Atlanta Internal Medicine PC
- West Atlanta Primary Care
- West Georgia Audiology (Beltone)
- West Georgia Community Care, LLC
- West Georgia Psychological Services
- West Health Services LLC
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.