Organization Active NPI

Quevedo Health Services Corp

  • Health Service Clinic/Center
  • Atlanta, GA
National Provider Identifier
1144765678
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
QUEVEDO HEALTH SERVICES CORP
Practice address
5555 Glenridge Connector
Suite 200
Atlanta, GA 30342-4759
Phone
(470) 424-4628
Fax
(470) 276-3166
NPI assigned
Dec 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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

Authorized official

Name
Reinier Quevedo
Title
Owner
Phone
(470) 424-4628

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X GA Primary

Addresses

Primary practice location

5555 Glenridge Connector
Suite 200
Atlanta, GA 30342-4759

Mailing address

5555 Glenridge Connector
Suite 200
Atlanta, GA 30342
Phone (470) 424-4628

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1144765678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 GLENRIDGE CONNECTOR",
            "address_2": "SUITE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30342",
            "telephone_number": "470-424-4628",
            "fax_number": "470-276-3166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 GLENRIDGE CONNECTOR",
            "address_2": "SUITE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424759",
            "telephone_number": "470-424-4628",
            "fax_number": "470-276-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEVEDO HEALTH SERVICES CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-19",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "QUEVEDO",
        "authorized_official_first_name": "REINIER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-424-4628"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "GA",
            "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 Dec 19, 2016; 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.