Hope Medical, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

037486 Issued in GA

Legal business name

HOPE MEDICAL, LLC

Practice address

5300 Memorial Dr
Suite 110-112
Stone Mountain, GA 30083-3148

Phone

(678) 704-0306

Fax

(678) 704-0706

NPI assigned

Dec 2, 2014

Last updated

Dec 2, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Samuel Johnson, M.D.NPI 1477749810

Title

Medical Director

Phone

(678) 704-0306

Specialties & licenses 1

Addresses

Locations

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.

• Samuel Johnson, M.D.

  • Family Medicine Physician
  • Stone Mountain, GA
  • NPI 1477749810
  Authorized official Same address or phone

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1124425483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 MEMORIAL DR",
            "address_2": "SUITE 110-112",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833148",
            "telephone_number": "678-704-0306",
            "fax_number": "678-704-0706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 MEMORIAL DR",
            "address_2": "SUITE 110-112",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833148",
            "telephone_number": "678-704-0306",
            "fax_number": "678-704-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE MEDICAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-02",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "678-704-0306",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "037486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Soojung Hong
• Kelly Hooper
• Hope Dispensary
• Hope Living Support LLC
• Hope Medical Group Inc (Hope Medical Group, P.C.)
• Aarhea Hope, DNP, FNP-C
• Riesa Hoque
• Max Alexander Horowitz, D.C.
• Gary L Howard, DISPENSING OPTICIAN
• Mirela Huccheva, DMD

• Family Medicine Physician in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; 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.