NPIMap

Organization Active NPI

Medical Treatment Centers of America, Inc

  • Multi-Specialty Clinic/Center
  • Duluth, GA
National Provider Identifier
1093013385
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
053868 Issued in GA
Legal business name
MEDICAL TREATMENT CENTERS OF AMERICA, INC
Practice address
3636 Satellite Blvd
Duluth, GA 30096-4590
Phone
(404) 448-2012
Fax
(800) 814-3301
NPI assigned
Mar 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

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

Authorized official

Name
Mr. Offer DananNPI 1598009342
Title
Cfo
Phone
(770) 695-5500

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 053868 GA Primary

Addresses

Primary practice location

3636 Satellite Blvd
Duluth, GA 30096-4590

Mailing address

3636 Satellite Blvd
Duluth, GA 30096-4590
Phone (404) 448-2012

National Provider Directory

National Provider Directory

Locations

3636 Satellite Blvd
Duluth, GA 30096
Phone (404) 448-2012

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1299715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299715200000",
    "number": "1093013385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3636 SATELLITE BLVD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964590",
            "telephone_number": "404-448-2012",
            "fax_number": "800-814-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3636 SATELLITE BLVD",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964590",
            "telephone_number": "404-448-2012",
            "fax_number": "800-814-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL TREATMENT CENTERS OF AMERICA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-10",
        "last_updated": "2011-03-10",
        "status": "A",
        "authorized_official_last_name": "DANAN",
        "authorized_official_first_name": "OFFER",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "770-695-5500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "GA",
            "license": "053868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.