Organization Active NPI

Atlanta Medical and Aesthetic Center Inc.

  • Obesity Medicine (Internal Medicine) Physician
  • Duluth, GA
National Provider Identifier
1174815724
Registry record updated May 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Internal Medicine) PhysicianTaxonomy code 207RB0002X
Legal business name
ATLANTA MEDICAL AND AESTHETIC CENTER INC.
Practice address
3460 Summit Ridge Pkwy Ste 504
Duluth, GA 30096-1621
Phone
(770) 476-8446
Fax
(770) 476-8442
NPI assigned
May 13, 2011
Last updated
May 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2011

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

Authorized official

Name
Dr. Saima SyedNPI 1255380911
Title
Ceo
Phone
(404) 861-3419

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Internal Medicine) Physician 207RB0002X NU Primary

Addresses

Primary practice location

3460 Summit Ridge Pkwy Ste 504
Duluth, GA 30096-1621

Mailing address

3460 Summit Ridge Pkwy
Duluth, GA 30096-1622
Phone (770) 476-8446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101021000546 GA Part B Supplier - Clinic/Group Practice 8628261716 Receives reassigned benefits from 1 practitioner
Practice locations: Duluth, GA; Loganville, GA; Snellville, GA

National Provider Directory

National Provider Directory

Locations

3460 Summit Ridge Pkwy
Ste 504
Duluth, GA 30096
Phone (770) 476-8446

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1305244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305244800000",
    "number": "1174815724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3460 SUMMIT RIDGE PKWY",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961622",
            "telephone_number": "770-476-8446",
            "fax_number": "770-476-8442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 SUMMIT RIDGE PKWY STE 504",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961621",
            "telephone_number": "770-476-8446",
            "fax_number": "770-476-8442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA MEDICAL AND AESTHETIC CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-13",
        "last_updated": "2011-05-13",
        "status": "A",
        "authorized_official_last_name": "SYED",
        "authorized_official_first_name": "SAIMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-861-3419",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2011; 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.

Verify at the official NPI Registry.