Organization Active NPI

Arcd and Weightloss Management

  • Clinic/Center
  • Atlanta, GA
National Provider Identifier
1194363382
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ARCD AND WEIGHTLOSS MANAGEMENT
Practice address
4300 Paces Ferry Rd SE Ste 500
Atlanta, GA 30339-5714
Phone
(678) 403-1239
Fax
(770) 678-7253
NPI assigned
Dec 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Authorized official

Name
Doran DukeNPI 1053671479
Title
MD
Phone
(770) 999-9887

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

4300 Paces Ferry Rd SE Ste 500
Atlanta, GA 30339-5714

Mailing address

4300 Paces Ferry Rd SE Ste 500
Atlanta, GA 30339-5714

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200207002490 GA Part B Supplier - Clinic/Group Practice 7315373479 Receives reassigned benefits from 1 practitioner
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Locations

265 18th St NW
Ste 2823
Atlanta, GA 30363
Phone (330) 219-8184

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730332800000",
    "number": "1194363382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 PACES FERRY RD SE STE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 PACES FERRY RD SE STE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395714",
            "telephone_number": "678-403-1239",
            "fax_number": "770-678-7253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARCD AND WEIGHTLOSS MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-18",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A",
        "authorized_official_last_name": "DUKE",
        "authorized_official_first_name": "DORAN",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "770-999-9887"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.