NPIMap

Organization Active NPI

Usmammo

  • Mammography Clinic/Center
  • Atlanta, GA
National Provider Identifier
1104039486
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mammography Clinic/CenterTaxonomy code 261QR0206X
License
0609796 Issued in GA
Legal business name
USMAMMO
Practice address
1175 Peachtree St NE
Suite 1425
Atlanta, GA 30361-6202
Phone
(404) 419-6644
Fax
(678) 904-2591
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Martha D Garrison, M.D.
Title
Ceo,President
Phone
(404) 419-6644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mammography Clinic/Center 261QR0206X 0609796 GA Primary

Addresses

Primary practice location

1175 Peachtree St NE
Suite 1425
Atlanta, GA 30361-6202

Mailing address

1175 Peachtree St NE
Suite 1425
Atlanta, GA 30361-6202
Phone (404) 419-6644

Other names 1

  • UStelemammography Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104039486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1175 PEACHTREE ST NE",
            "address_2": "SUITE 1425",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303616202",
            "telephone_number": "404-419-6644",
            "fax_number": "678-904-2591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1175 PEACHTREE ST NE",
            "address_2": "SUITE 1425",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303616202",
            "telephone_number": "404-419-6644",
            "fax_number": "678-904-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "USMAMMO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GARRISON",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO,PRESIDENT",
        "authorized_official_telephone_number": "404-419-6644",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR0206X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mammography",
            "state": "GA",
            "license": "0609796",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UStelemammography",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 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.

Verify at the official NPI Registry.