Buckhead Breast Care, LLC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

044956 Issued in GA

Legal business name

BUCKHEAD BREAST CARE, LLC

Practice address

35 Collier Rd NW
Suite 185
Atlanta, GA 30309-1613

Phone

(404) 603-8100

NPI assigned

Mar 8, 2016

Organization subpart

No

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

Authorized official

Name

Daniel J. Lee, MD

Title

Manager

Phone

(404) 695-0772

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1184085821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 NOTTINGHAM LN NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303196002",
            "telephone_number": "404-695-0772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 COLLIER RD NW",
            "address_2": "SUITE 185",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091613",
            "telephone_number": "404-603-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUCKHEAD BREAST CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "404-695-0772",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "GA",
            "license": "044956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Madison Buckelew, DO
• Buckeye Medical Center
• Hayden Buckhalt, PT, DPT
• Tara Buckhalter, CPNP
• Buckhead Behavioral Health
• Buckhead Chiropractic Group
• Buckhead Clinic, LLC
• Buckhead Concierge Internal Medicine, LLC (Buckhead Medicine)
• Buckhead Concierge Rehabilitation
• Buckhead Cosmetic and Family Dentistry LLC

• Surgery Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.