Organization Active NPI

The Emory Clinic, Inc

  • Clinic/Center
  • Atlanta, GA
National Provider Identifier
1124361092
Registry record updated Mar 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
THE EMORY CLINIC, INC
Practice address
1365 Clifton Rd NE
4TH Floor, Room #4331
Atlanta, GA 30322-1013
Phone
(404) 778-2010
NPI assigned
Mar 29, 2013
Organization subpart
Yes
Parent organization
EMORY UNIVERSITY, EMORY HEALTHCARE INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 29, 2013

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

Authorized official

Name
Mr. Donald Brunn
Title
Chief Operating Officer
Phone
(404) 778-4870

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1365 Clifton Rd NE
4TH Floor, Room #4331
Atlanta, GA 30322-1013

Mailing address

1365 Clifton Rd NE
4TH Floor, Room #4331
Atlanta, GA 30322-1013
Phone (404) 778-2010

National Provider Directory

National Provider Directory
Tax ID family
Emory Crawford Long Hospital26 organizations share this tax ID, including this one
Part of
Emory Healthcare at Coca Cola

Other organizations with this tax ID 25

Organizations that report the same tax identification number in the National Provider Directory.

View all 25

Locations

1365 Clifton Rd NE
Fl 4
Atlanta, GA 30322
Phone (404) 778-2010

NPI Registry JSON

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

{
    "created_epoch": "1364515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364515200000",
    "number": "1124361092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 CLIFTON RD NE",
            "address_2": "4TH FLOOR, ROOM #4331",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221013",
            "telephone_number": "404-778-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 CLIFTON RD NE",
            "address_2": "4TH FLOOR, ROOM #4331",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221013",
            "telephone_number": "404-778-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EMORY CLINIC, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMORY UNIVERSITY, EMORY HEALTHCARE INC",
        "enumeration_date": "2013-03-29",
        "last_updated": "2013-03-29",
        "status": "A",
        "authorized_official_last_name": "BRUNN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "404-778-4870",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "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 Mar 29, 2013; 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.