Organization Active NPI

Intralign Ga PC

  • Surgery Physician
  • Atlanta, GA
National Provider Identifier
1205230554
Registry record updated Oct 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
29073 Issued in GA
Legal business name
INTRALIGN GA PC
Practice address
993 Johnson Fy Rd NE # C
Atlanta, GA 30342-1620
Phone
(813) 865-1340
Fax
(813) 343-5506
NPI assigned
Oct 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2014

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

Authorized official

Name
Edwin C Pound III, MD
Title
President
Phone
(813) 865-1340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 29073 GA Primary

Addresses

Primary practice location

993 Johnson Fy Rd NE # C
Atlanta, GA 30342-1620

Mailing address

PO Box 21724
Tampa, FL 33622-1724
Phone (813) 865-1340

National Provider Directory

National Provider Directory

Locations

993 Johnson Fy Rd NE
#C
Sandy Springs, GA 30342
Phone (813) 865-1340

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": "1413331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1205230554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21724",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336221724",
            "telephone_number": "813-865-1340",
            "fax_number": "813-343-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "993 JOHNSON FY RD NE # C",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421620",
            "telephone_number": "813-865-1340",
            "fax_number": "813-343-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTRALIGN GA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-15",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "POUND III",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-865-1340",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "GA",
            "license": "29073",
            "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 15, 2014; 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.