Active NPI
Aid Atlanta Inc
- Infectious Disease Physician
- Newnan, GA
National Provider Identifier
1144646340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- Legal business name
- AID ATLANTA INC
- Practice address
- 770 Greison TRL Ste H
Newnan, GA 30263-6401 - Phone
- (770) 252-5418
- Fax
- (770) 252-5417
- NPI assigned
- Mar 12, 2014
- Last updated
- Mar 6, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lyle Honig Mojica
- Title
- Cfo
- Phone
- (323) 860-5305
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | |||
| Infectious Disease Physician | 207RI0200X | Primary |
Addresses
Primary practice location
770 Greison TRL Ste H
Newnan, GA 30263-6401
Mailing address
6255 W Sunset Blvd FL 21
Los Angeles, CA 90028-7422
Phone (323) 860-5200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000519538A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1605 Peachtree St NE
Atlanta, GA 30309
Phone (404) 870-7700
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Internal Medicine Physician
- Newnan, GA
- NPI 1861596231
-
- Family Nurse Practitioner
- Atlanta, GA
- NPI 1861753816
-
- Family Nurse Practitioner
- Atlanta, GA
- NPI 1205403151
-
- Family Medicine Physician
- Newnan, GA
- NPI 1245320977
-
- Family Medicine Physician
- Lagrange, GA
- NPI 1194989285
-
- Family Nurse Practitioner
- Atlanta, GA
- NPI 1083786289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709683200000",
"number": "1144646340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6255 W SUNSET BLVD FL 21",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900287422",
"telephone_number": "323-860-5200",
"fax_number": "833-241-7615"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 GREISON TRL STE H",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302636401",
"telephone_number": "770-252-5418",
"fax_number": "770-252-5417"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AID ATLANTA INC",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-12",
"last_updated": "2024-03-06",
"certification_date": "2024-03-06",
"status": "A",
"authorized_official_last_name": "HONIG MOJICA",
"authorized_official_first_name": "LYLE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "323-860-5305"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000519538A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.