Organization Active NPI

Atlanta Family Palliative Care LLC

  • Case Management Agency
  • Norcross, GA
National Provider Identifier
1265096226
Registry record updated Apr 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ATLANTA FAMILY PALLIATIVE CARE LLC
Practice address
5950 Live Oak Pkwy Ste 240
Norcross, GA 30093-1743
Phone
(770) 892-1637
Fax
(770) 461-0507
NPI assigned
Apr 25, 2019
Last updated
Apr 25, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2019

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

Authorized official

Name
Ms. Sherian SharomiNPI 1972838365
Title
Ceo/Administrator
Phone
(770) 892-1637

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

5950 Live Oak Pkwy Ste 240
Norcross, GA 30093-1743

Mailing address

5950 Live Oak Pkwy Ste 240
Norcross, GA 30093-1743
Phone (770) 892-1637

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190724000752 GA Part B Supplier - Clinic/Group Practice 4385970748 Receives reassigned benefits from 4 practitioners
Practice locations: Norcross, GA

National Provider Directory

National Provider Directory

Locations

5950 Live Oak Pkwy
Ste 240
Norcross, GA 30093
Phone (770) 892-1637

Practitioners & affiliated clinicians

Practitioners 4

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": "1556150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556150400000",
    "number": "1265096226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5950 LIVE OAK PKWY STE 240",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931743",
            "telephone_number": "770-892-1637",
            "fax_number": "770-461-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 LIVE OAK PKWY STE 240",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931743",
            "telephone_number": "770-892-1637",
            "fax_number": "770-461-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA FAMILY PALLIATIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-25",
        "last_updated": "2019-04-25",
        "status": "A",
        "authorized_official_last_name": "SHAROMI",
        "authorized_official_first_name": "SHERIAN",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "770-892-1637",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Apr 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.