NPIMap

Organization Active NPI

Good Samaritan Health Center

  • Primary Care Clinic/Center
  • Norcross, GA
National Provider Identifier
1255831293
Registry record updated Feb 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
GOOD SAMARITAN HEALTH CENTER
Practice address
4864 Jimmy Carter Blvd
Norcross, GA 30093-3701
Phone
(678) 280-6630
NPI assigned
Feb 16, 2018
Last updated
Feb 16, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
GOOD SAMARITAN HEALTH CENTER OF GWINNETTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 16, 2018

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

Authorized official

Name
Gregory Lang
Title
Executive Director
Phone
(678) 280-6630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

4864 Jimmy Carter Blvd
Norcross, GA 30093-3701

Mailing address

5949 Buford Hwy
Norcross, GA 30071-2472

Other names 1

  • Bridge Atlanta Medical Center Former legal business name

National Provider Directory

National Provider Directory
Part of
Good Samaritan Health Center

Locations

5949 Buford Hwy
Norcross, GA 30071
Phone (678) 280-6630

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/6806/brand/1/csg/1/fhir/r4

Ownership & related parties

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.

Practitioners & affiliated clinicians

Practitioners 10

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": "1518739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518739200000",
    "number": "1255831293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5949 BUFORD HWY",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300712472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4864 JIMMY CARTER BLVD",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300933701",
            "telephone_number": "678-280-6630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARITAN HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOOD SAMARITAN HEALTH CENTER OF GWINNETT",
        "enumeration_date": "2018-02-16",
        "last_updated": "2018-02-16",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "678-280-6630"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridge Atlanta Medical Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2018; 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.