NPIMap

Organization Active NPI

Care Dynamix, Inc,

  • Family Medicine Physician
  • Roswell, GA
National Provider Identifier
1174856397
Registry record updated Sep 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CARE DYNAMIX, INC,
Practice address
235 Hembree Park Dr
Suite 300
Roswell, GA 30076-5738
Phone
(770) 512-8566
Fax
(770) 512-8558
NPI assigned
Sep 8, 2009
Organization subpart
Yes
Parent organization
CARE DYNAMIX, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 3, 2010

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

Authorized official

Name
Pam Riley
Title
Controller
Phone
(770) 512-8566

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Federal Public Health Clinic/Center 261QP0904X

Addresses

Primary practice location

235 Hembree Park Dr
Suite 300
Roswell, GA 30076-5738

Mailing address

235 Hembree Park Dr
Suite 300
Roswell, GA 30076-5738
Phone (770) 512-8566

Other names 1

  • Flu Busters Doing business as

National Provider Directory

National Provider Directory
Part of
Care Dynamix LLC

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283472000000",
    "number": "1174856397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 HEMBREE PARK DR",
            "address_2": "SUITE 300",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765738",
            "telephone_number": "770-512-8566",
            "fax_number": "770-512-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 HEMBREE PARK DR",
            "address_2": "SUITE 300",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765738",
            "telephone_number": "770-512-8566",
            "fax_number": "770-512-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE DYNAMIX, INC,",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARE DYNAMIX, LLC",
        "enumeration_date": "2009-09-08",
        "last_updated": "2010-09-03",
        "status": "A",
        "authorized_official_last_name": "RILEY",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "770-512-8566"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP0904X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Public Health, Federal",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Flu Busters",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; 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.