Active NPI
Arcd and Weightloss Management
- Clinic/Center
- Atlanta, GA
National Provider Identifier
1194363382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Doran Duke
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200207002490 | GA | Part B Supplier - Clinic/Group Practice | 7315373479 |
Receives reassigned benefits from 1 practitioner Practice locations: Atlanta, GA |
National Provider Directory
National Provider DirectoryLocations
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.