Draco Group of Marietta, Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

DRACO GROUP OF MARIETTA, INC.

Practice address

3020 Roswell Rd Ste 216-a
Marietta, GA 30062-4996

Phone

(678) 819-3936

Fax

(678) 819-3943

NPI assigned

Sep 14, 2007

Last updated

Sep 14, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Bernardo Matos

Title

President

Phone

(678) 819-3936

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Robin Michele Johnson, M.D.

  • Psychiatry Physician
  • Atascadero, CA
  • NPI 1821060617
  NPD (past)

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

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1184810913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 ROSWELL RD STE 216-A",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300624996",
            "telephone_number": "678-819-3936",
            "fax_number": "678-819-3943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 ROSWELL RD STE 216-A",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300624996",
            "telephone_number": "678-819-3936",
            "fax_number": "678-819-3943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRACO GROUP OF MARIETTA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-14",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "MATOS",
        "authorized_official_first_name": "BERNARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-819-3936",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dr. Melodie M. Billiot, PC (Alternative Health Atlanta)
• Dr. Ranan B. Stimpson OD PC
• Dr. Robin Casey (Spring Psychological Services)
• Dr. Victor J. Bateh DDS, LLC
• Dr. Wendy Giles
• Alison Drake-Barrack, M.D.
• Shamari Phylicia Drake, PT
• Heather Grace Draper
• Drea Abshire Counseling, LLC
• Dream Aesthetic Academy (Iface Academy)

• General Practice Physician in Marietta, GA
• Providers in Marietta, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; 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.