Organization Active NPI

Rosalind Medical Clinic, LLC

  • Family Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1093304164
Registry record updated Apr 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
ROSALIND MEDICAL CLINIC, LLC
Practice address
1762 Rosalind Dr NE
Atlanta, GA 30329-2538
Phone
(404) 382-6883
NPI assigned
Jan 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2021

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

Authorized official

Name
Corby Barkhaus, APRN
Title
Founder
Phone
(404) 382-6883

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

1762 Rosalind Dr NE
Atlanta, GA 30329-2538

Mailing address

1762 Rosalind Dr NE
Atlanta, GA 30329-2538
Phone (404) 382-6883

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23513/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617840000000",
    "number": "1093304164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1762 ROSALIND DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292538",
            "telephone_number": "404-382-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1762 ROSALIND DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292538",
            "telephone_number": "404-382-6883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSALIND MEDICAL CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-04-08",
        "certification_date": "2021-04-08",
        "status": "A",
        "authorized_official_last_name": "BARKHAUS",
        "authorized_official_first_name": "CORBY",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "404-382-6883",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 8, 2021; 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.