Organization Active NPI

Monal, LLC

  • Medical Physician Assistant
  • Decatur, GA
National Provider Identifier
1104274323
Registry record updated May 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
7967 Issued in GA
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

Updated by the provider on May 31, 2016

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)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363AM0700X 7967 GA Primary
Surgical Physician AssistantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.