Active NPI
Modern Emergency Care, LLC
- General Practice Physician
- Atlanta, GA
National Provider Identifier
1245661693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- 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, 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
- Ms. Katrina K Harden
- Title
- Practice Assistant
- Phone
- (229) 886-3424
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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 DirectoryPractitioners & 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.
-
- Emergency Medicine Physician
- Atlanta, GA
- NPI 1265474019
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.