Organization Active NPI

Wound Care & Hyperbaric Center

  • Undersea and Hyperbaric Medicine (Emergency Medicine) Physician
  • Lithonia, GA
National Provider Identifier
1205370632
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianTaxonomy code 207PE0005X
Legal business name
WOUND CARE & HYPERBARIC CENTER
Practice address
6000 Hillandale Dr
Suite 150
Lithonia, GA 30058-4840
Phone
(770) 778-7009
NPI assigned
Dec 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Authorized official

Name
Faith Gilliam
Title
Credentialing Coordinator
Phone
(404) 447-0966

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Undersea and Hyperbaric Medicine (Emergency Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207PE0005X GA Primary

Addresses

Primary practice location

6000 Hillandale Dr
Suite 150
Lithonia, GA 30058-4840

Mailing address

1227 Rockbridge Rd
Suite 208-82
Stone Mountain, GA 30087-3064

National Provider Directory

National Provider Directory

Locations

1227 Rockbridge Rd
Ste 20882
Stone Mountain, GA 30087

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": "1480723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1205370632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1227 ROCKBRIDGE RD",
            "address_2": "SUITE 208-82",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 HILLANDALE DR",
            "address_2": "SUITE 150",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300584840",
            "telephone_number": "770-778-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOUND CARE & HYPERBARIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-03",
        "last_updated": "2016-12-05",
        "status": "A",
        "authorized_official_last_name": "GILLIAM",
        "authorized_official_first_name": "FAITH",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "404-447-0966"
    },
    "taxonomies": [
        {
            "code": "207PE0005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine, Undersea and Hyperbaric Medicine",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithonia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.