BJ Med Clinic LLC

Primary specialty

Legal MedicineTaxonomy code 173000000X

Legal business name

BJ MED CLINIC LLC

Practice address

340 Boulevard NE Ste 318
Atlanta, GA 30312-1283

Phone

(678) 695-5035

NPI assigned

May 27, 2014

Last updated

May 27, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sara Badie

Title

Adminstrator

Phone

(678) 395-5035

Specialties & licenses 1

Addresses

Tax ID family

BJ Med Clinic LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• BJ Med Clinic LLC

  • Legal Medicine
  • Decatur, GA
  • NPI 1548672512
  NPD tax ID

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1073925970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 BOULEVARD NE STE 318",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121283",
            "telephone_number": "678-695-5035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 BOULEVARD NE STE 318",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121283",
            "telephone_number": "678-695-5035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BJ MED CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-05-27",
        "status": "A",
        "authorized_official_last_name": "BADIE",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "ADMINSTRATOR",
        "authorized_official_telephone_number": "678-395-5035"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary L. Bivins, R.PH.
• Latoya Shanise Bivins, LPC
• Tonesha Denise Bivins, LPC
• Biz Info Tech Consulting Solutions, LLC (ARCpoint Labs of Atlanta-Buckhead)
• Cassidy Bizzell
• BJ Med MGMT LLC
• BJ's Wholesale Club Inc.
• BJMM Medical LLC
• Sveinn Bjornsson, DR.
• BJT & Associates (The Sports Rehabilitation Center of Brookhaven)

• Legal Medicine in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Legal Medicine in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; 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.