Organization Active NPI

Injury MD LLC

  • Family Medicine Physician
  • Roswell, GA
National Provider Identifier
1114543196
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
INJURY MD LLC
Practice address
245 Steeple Point Dr
Roswell, GA 30076-5521
Phone
(770) 695-5500
Fax
(800) 814-3301
NPI assigned
Jun 24, 2020
Last updated
Jun 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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

Authorized official

Name
Dr. Offer DananNPI 1598009342
Title
Ceo
Phone
(770) 695-5500

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
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

245 Steeple Point Dr
Roswell, GA 30076-5521

Mailing address

245 Steeple Point Dr
Roswell, GA 30076-5521
Phone (770) 695-5500

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": "1592956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592956800000",
    "number": "1114543196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 STEEPLE POINT DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765521",
            "telephone_number": "770-695-5500",
            "fax_number": "800-814-3301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 STEEPLE POINT DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765521",
            "telephone_number": "770-695-5500",
            "fax_number": "800-814-3301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INJURY MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-24",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A",
        "authorized_official_last_name": "DANAN",
        "authorized_official_first_name": "OFFER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-695-5500",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.