Board of Regents of the University System of Georgia and on Behalf....

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

BOARD OF REGENTS OF THE UNIVERSITY SYSTEM OF GEORGIA AND ON BEHALF....

Practice address

141 Piedmont Ave NE Ste D
Atlanta, GA 30303-2417

Phone

(404) 413-1930

Fax

(404) 413-1955

NPI assigned

Jul 19, 2022

Organization subpart

Yes

Parent organization

BOARD OF REGENTS OF THE UNIVERSITY SYSTEM OF GEORGIA AND ON BEHALF....As reported in NPPES

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

Authorized official

Name

Dr. Susan Marie Whitmer, MDNPI 1639373426

Title

Medical Director

Phone

(404) 413-1930

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Student Health Clinic Other name

Electronic endpoints 1

Tax ID family

Ga State University Hea2 organizations share this tax ID, including this one

Part of

Ga State University Hea

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Board of Regents of the University System of Georgia and on Behalf....

  • Sports Medicine (Family Medicine) Physician
  • Atlanta, GA
  • NPI 1114570389
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Board of Regents of the University System of Georgia and on Behalf....

  • Sports Medicine (Family Medicine) Physician
  • Atlanta, GA
  • NPI 1114570389
  NPPES parent name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Susan Marie Whitmer, MD

  • General Practice Physician
  • Atlanta, GA
  • NPI 1639373426
  NPD Authorized official

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658188800000",
    "number": "1245965813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3996",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303023996",
            "telephone_number": "404-413-1930",
            "fax_number": "404-413-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 PIEDMONT AVE NE STE D",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303032417",
            "telephone_number": "404-413-1930",
            "fax_number": "404-413-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOARD OF REGENTS OF THE UNIVERSITY SYSTEM OF GEORGIA AND ON BEHALF....",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BOARD OF REGENTS OF THE UNIVERSITY SYSTEM OF GEORGIA AND ON BEHALF....",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A",
        "authorized_official_last_name": "WHITMER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "404-413-1930",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1639373426",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "healthclinic@gsu.edu",
            "affiliation": "N",
            "endpointDescription": "Student Health Clinic email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "141 Piedmont Ave NE Ste D",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303032417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Student Health Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lauren Elizabeth Boag, PA
• Newman Kwame Boakye-Ansa, MD
• Theophilus Boakye, MD
• Catherine Boalch, RPH, PHARM.D.
• Board of Regents of the University System of Georgia and on Behalf....
• Kelly Board, APRN, NP-C
• Afua Sarpon Boaten, MD
• Adedoyin Boatin, PHARMD
• Connie Reynolds Boatman, MPA, PA-C
• Kenneth Carter Boatner, ED.D.,MPH

• General Practice Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; 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.