Organization Active NPI

Circadia Medical Center, LLC

  • Multi-Specialty Clinic/Center
  • Atlanta, GA
National Provider Identifier
1124309893
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
CIRCADIA MEDICAL CENTER, LLC
Practice address
4360 Chamblee Dunwoody Rd
Ste 515
Atlanta, GA 30341-1049
Phone
(770) 457-7812
Fax
(770) 457-7649
NPI assigned
Sep 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2011

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

Authorized official

Name
Mr. Jeffrey Scott Sanders
Title
President/Ceo
Phone
(770) 377-6539

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

4360 Chamblee Dunwoody Rd
Ste 515
Atlanta, GA 30341-1049

Mailing address

P O Box 4048
Macon, GA 31208-4048
Phone (770) 457-7812

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321920000000",
    "number": "1124309893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 4048",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312084048",
            "telephone_number": "770-457-7812",
            "fax_number": "770-457-7649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4360 CHAMBLEE DUNWOODY RD",
            "address_2": "STE 515",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303411049",
            "telephone_number": "770-457-7812",
            "fax_number": "770-457-7649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCADIA MEDICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-07",
        "last_updated": "2011-11-22",
        "status": "A",
        "authorized_official_last_name": "SANDERS",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "770-377-6539",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "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 Nov 22, 2011; 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.