Active NPI
North Fulton Regional
- General Acute Care Hospital
- Roswell, GA
National Provider Identifier
1184073231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- NORTH FULTON REGIONAL
- Practice address
- 3000 Hospital Blvd
Roswell, GA 30076-4915 - Phone
- (770) 751-2500
- NPI assigned
- Jun 9, 2016
- 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
- Michael Alan Capak
- Title
- Rep, Payment & Research
- Phone
- (469) 803-4500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Primary |
Addresses
Primary practice location
3000 Hospital Blvd
Roswell, GA 30076-4915
Mailing address
3000 Hospital Blvd
Roswell, GA 30076-4915
Phone (770) 751-2500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750312997 | Medicaid | GA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465430400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1474243200000",
"number": "1184073231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 HOSPITAL BLVD",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300764915",
"telephone_number": "770-751-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 HOSPITAL BLVD",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300764915",
"telephone_number": "770-751-2500"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH FULTON REGIONAL",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-09",
"last_updated": "2016-09-19",
"status": "A",
"authorized_official_last_name": "CAPAK",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "REP, PAYMENT & RESEARCH",
"authorized_official_telephone_number": "469-803-4500"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1750312997",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, GA
- North Fulton Pediatrics
- North Fulton Podiatry
- North Fulton Primary Care-Willeo Road, LLC
- North Fulton Psychiatric Care PC
- North Fulton Pulmonary Specialists, LLC
- North Fulton Regional Medical Center Pro Fee Billing, LLC
- North Fulton Rheumatology
- North Fulton Urology PC
- North Fulton Women'S Consultants, LLC
- North Georgia Optical
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 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.