Organization Active NPI

Dunwoody Medical Group

  • General Practice Physician
  • Atlanta, GA
National Provider Identifier
1114385820
Registry record updated Feb 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
031204 Issued in GA
Legal business name
DUNWOODY MEDICAL GROUP
Practice address
5901 Peachtree Dunwoody Rd
Suite C25
Atlanta, GA 30328-5382
Phone
(678) 443-4000
NPI assigned
Feb 9, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2016

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

Authorized official

Name
Ava Bell-Taylor, M.D.NPI 1043493059
Title
Owner
Phone
(678) 443-4000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X 031204 GA Primary

Addresses

Primary practice location

5901 Peachtree Dunwoody Rd
Suite C25
Atlanta, GA 30328-5382

Mailing address

2452 Spencers Way
Stone Mountain, GA 30087-1252
Phone (678) 570-2211

National Provider Directory

National Provider Directory

Locations

5901 Peachtree Dunwoody Rd
Ste C25
Sandy Springs, GA 30328
Phone (678) 443-4000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1454976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454976000000",
    "number": "1114385820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2452 SPENCERS WAY",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300871252",
            "telephone_number": "678-570-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 PEACHTREE DUNWOODY RD",
            "address_2": "SUITE C25",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285382",
            "telephone_number": "678-443-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNWOODY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-09",
        "last_updated": "2016-02-09",
        "status": "A",
        "authorized_official_last_name": "BELL-TAYLOR",
        "authorized_official_first_name": "AVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-443-4000",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "GA",
            "license": "031204",
            "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 Feb 9, 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.