Organization Active NPI

Atlantic South Medical Group Incorporated

  • Clinic/Center
  • Aventura, FL
National Provider Identifier
1114275427
Registry record updated Mar 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ATLANTIC SOUTH MEDICAL GROUP INCORPORATED
Practice address
2925 Aventura Blvd
Suite 101
Aventura, FL 33180-3124
Phone
(305) 931-7424
Fax
(305) 931-7425
NPI assigned
Aug 16, 2012
Last updated
Mar 23, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2015

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

Authorized official

Name
Volrick Morrison, D.O.NPI 1669611711
Title
Physician
Phone
(305) 931-7424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

2925 Aventura Blvd
Suite 101
Aventura, FL 33180-3124

Mailing address

PO Box 909
Hallandale, FL 33008-0909
Phone (305) 931-7424

Other identifiers 1

IdentifierTypeStateIssuer
007960400MedicaidFL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1114275427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 909",
            "city": "HALLANDALE",
            "state": "FL",
            "postal_code": "330080909",
            "telephone_number": "305-931-7424",
            "fax_number": "305-931-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 AVENTURA BLVD",
            "address_2": "SUITE 101",
            "city": "AVENTURA",
            "state": "FL",
            "postal_code": "331803124",
            "telephone_number": "305-931-7424",
            "fax_number": "305-931-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC SOUTH MEDICAL GROUP INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "MORRISON",
        "authorized_official_first_name": "VOLRICK",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "305-931-7424",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007960400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aventura, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; 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.