Organization Active NPI

Georgia Therapy Clinic, LLC

  • Multi-Specialty Clinic/Center
  • Atlanta, GA
National Provider Identifier
1194378745
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
GEORGIA THERAPY CLINIC, LLC
Practice address
1800 Peachtree St NW Ste 730
Atlanta, GA 30309-2511
Phone
(470) 481-6200
Fax
(404) 257-6297
NPI assigned
Jul 23, 2019
Last updated
Jul 23, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Authorized official

Name
Kathy Cruise
Title
Clinic Manager
Phone
(832) 602-6545

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X NU Primary

Addresses

Primary practice location

1800 Peachtree St NW Ste 730
Atlanta, GA 30309-2511

Mailing address

1800 Peachtree St NW Ste 730
Atlanta, GA 30309-2511
Phone (470) 481-6200

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1563840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563840000000",
    "number": "1194378745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 PEACHTREE ST NW STE 730",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092511",
            "telephone_number": "470-481-6200",
            "fax_number": "404-257-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 PEACHTREE ST NW STE 730",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092511",
            "telephone_number": "470-481-6200",
            "fax_number": "404-257-6297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA THERAPY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-23",
        "last_updated": "2019-07-23",
        "status": "A",
        "authorized_official_last_name": "CRUISE",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "832-602-6545"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "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 Jul 23, 2019; 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.