Active NPI
Monal, LLC
- Medical Physician Assistant
- Decatur, GA
National Provider Identifier
1104274323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 7967
- Legal business name
- MONAL, LLC
- Practice address
- 1014 Sycamore Dr
Suite B
Decatur, GA 30030-1644 - Phone
- (404) 299-1700
- Fax
- (404) 299-1616
- NPI assigned
- May 27, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alex Phillip Schultz, PA-C, MMSC
- Title
- Physician Assistant
- Phone
- (504) 239-3467
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 7967 | GA | Primary |
| Surgical Physician Assistant | 363AS0400X | 7967 | GA |
Addresses
Primary practice location
1014 Sycamore Dr
Suite B
Decatur, GA 30030-1644
Mailing address
1014 Sycamore Dr
Suite B
Decatur, GA 30030-1644
Phone (404) 299-1700
National Provider Directory
National Provider DirectoryLocations
1014 Sycamore Dr
#B
Decatur, GA 30030
Phone (404) 299-1700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1464307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1464652800000",
"number": "1104274323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1014 SYCAMORE DR",
"address_2": "SUITE B",
"city": "DECATUR",
"state": "GA",
"postal_code": "300301644",
"telephone_number": "404-299-1700",
"fax_number": "404-299-1616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1014 SYCAMORE DR",
"address_2": "SUITE B",
"city": "DECATUR",
"state": "GA",
"postal_code": "300301644",
"telephone_number": "404-299-1700",
"fax_number": "404-299-1616"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONAL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-27",
"last_updated": "2016-05-31",
"status": "A",
"authorized_official_last_name": "SCHULTZ",
"authorized_official_first_name": "ALEX",
"authorized_official_middle_name": "PHILLIP",
"authorized_official_title_or_position": "PHYSICIAN ASSISTANT",
"authorized_official_telephone_number": "504-239-3467",
"authorized_official_credential": "PA-C, MMSC"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "7967",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physician Assistant, Surgical",
"state": "GA",
"license": "7967",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.