Active NPI
Fort Mountain Emergency Physicians, LLC
- Emergency Medicine Physician
- Chatsworth, GA
National Provider Identifier
1245570332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- Legal business name
- FORT MOUNTAIN EMERGENCY PHYSICIANS, LLC
- Practice address
- 707 Old Dalton Ellijay Rd
Chatsworth, GA 30705-2029 - Phone
- (706) 517-2057
- Fax
- (706) 517-3797
- NPI assigned
- Feb 26, 2013
- 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
- Todd G Zimmerman
- Title
- President
- Phone
- (800) 507-8874
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Primary |
Addresses
Primary practice location
707 Old Dalton Ellijay Rd
Chatsworth, GA 30705-2029
Mailing address
PO Box 37913
Philadelphia, PA 19101-0510
Phone (800) 507-8874
National Provider Directory
National Provider DirectoryLocations
707 Old Dalton Ellijay Rd
Chatsworth, GA 30705
Phone (706) 517-2050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361836800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1372982400000",
"number": "1245570332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 37913",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191010510",
"telephone_number": "800-507-8874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 OLD DALTON ELLIJAY RD",
"city": "CHATSWORTH",
"state": "GA",
"postal_code": "307052029",
"telephone_number": "706-517-2057",
"fax_number": "706-517-3797"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORT MOUNTAIN EMERGENCY PHYSICIANS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-26",
"last_updated": "2013-07-05",
"status": "A",
"authorized_official_last_name": "ZIMMERMAN",
"authorized_official_first_name": "TODD",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "800-507-8874"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chatsworth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.