Organization Active NPI

Modern Emergency Care, LLC

  • General Practice Physician
  • Atlanta, GA
National Provider Identifier
1245661693
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MODERN EMERGENCY CARE, LLC
Practice address
5505 Roswell Rd
Suite 100
Atlanta, GA 30342-1985
Phone
(229) 886-3424
NPI assigned
Dec 11, 2013
Last updated
Dec 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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

Authorized official

Name
Ms. Katrina K Harden
Title
Practice Assistant
Phone
(229) 886-3424

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X GA Primary

Addresses

Primary practice location

5505 Roswell Rd
Suite 100
Atlanta, GA 30342-1985

Mailing address

4419 Dunmore Rd NE
Marietta, GA 30068-4224
Phone (229) 886-3424

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386720000000",
    "number": "1245661693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4419 DUNMORE RD NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300684224",
            "telephone_number": "229-886-3424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 ROSWELL RD",
            "address_2": "SUITE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421985",
            "telephone_number": "229-886-3424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN EMERGENCY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-11",
        "last_updated": "2013-12-11",
        "status": "A",
        "authorized_official_last_name": "HARDEN",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRACTICE ASSISTANT",
        "authorized_official_telephone_number": "229-886-3424",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "GA",
            "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 Dec 11, 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.

Verify at the official NPI Registry.