Organization Active NPI

Buckhead Clinic, LLC

  • General Practice Physician
  • Atlanta, GA
National Provider Identifier
1073811246
Registry record updated Mar 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
38600 Issued in GA
Legal business name
BUCKHEAD CLINIC, LLC
Practice address
3115 Piedmont Road NE
Atlanta, GA 30305
Phone
(770) 643-2010
Fax
(770) 643-2011
NPI assigned
Mar 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2011

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

Authorized official

Name
Dr. John Y Salinas, MD
Title
MBR
Phone
(404) 992-9130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 38600 GA Primary

Addresses

Primary practice location

3115 Piedmont Road NE
Atlanta, GA 30305

Mailing address

3115 Piedmont Road NE
Atlanta, GA 30305
Phone (770) 643-2010

Other identifiers 1

IdentifierTypeStateIssuer
1205002946OtherGAINDIV NPI - JOHN Y SALINAS

National Provider Directory

National Provider Directory

Locations

3115 Piedmont Rd NE
Atlanta, GA 30305
Phone (770) 643-2010

NPI Registry JSON

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

{
    "created_epoch": "1299801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299801600000",
    "number": "1073811246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3115 PIEDMONT ROAD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30305",
            "telephone_number": "770-643-2010",
            "fax_number": "770-643-2011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 PIEDMONT ROAD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30305",
            "telephone_number": "770-643-2010",
            "fax_number": "770-643-2011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKHEAD CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-11",
        "last_updated": "2011-03-11",
        "status": "A",
        "authorized_official_last_name": "SALINAS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "MBR",
        "authorized_official_telephone_number": "404-992-9130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "GA",
            "license": "38600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIV NPI - JOHN Y SALINAS",
            "identifier": "1205002946",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2011; 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.