Atlanta Medical Professional Group

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

ATLANTA MEDICAL PROFESSIONAL GROUP

Practice address

541 Forest Pkwy
Suite 14
Forest Park, GA 30297-6144

Phone

(404) 362-9772

Fax

(404) 362-9773

NPI assigned

Feb 13, 2009

Last updated

Feb 13, 2009By 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

Vincent Montelione

Title

Managing Director

Phone

(954) 472-3023

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234483200000",
    "number": "1144469115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 FOREST PKWY",
            "address_2": "SUITE 14",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302976144",
            "telephone_number": "404-362-9772",
            "fax_number": "404-362-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 FOREST PKWY",
            "address_2": "SUITE 14",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302976144",
            "telephone_number": "404-362-9772",
            "fax_number": "404-362-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA MEDICAL PROFESSIONAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-13",
        "last_updated": "2009-02-13",
        "status": "A",
        "authorized_official_last_name": "MONTELIONE",
        "authorized_official_first_name": "VINCENT",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "954-472-3023"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Forest Park, GA
• Providers in Forest Park, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; 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.