NPIMap

Organization Active NPI

Breast Care Specialists

  • Diagnostic Radiology Physician
  • Atlanta, GA
National Provider Identifier
1265412142
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
BREAST CARE SPECIALISTS
Practice address
975 Johnson Ferry Rd NE
Suite 100
Atlanta, GA 30342-1619
Phone
(404) 255-8086
Fax
(404) 531-4962
NPI assigned
Jan 18, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Mr. Eric Bossak
Title
Administrator
Phone
(404) 255-8086

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0202X Primary
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X

Addresses

Primary practice location

975 Johnson Ferry Rd NE
Suite 100
Atlanta, GA 30342-1619

Mailing address

975 Johnson Ferry Rd NE
Suite 100
Atlanta, GA 30342-1619
Phone (404) 255-8086

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110216000181 GA Part B Supplier - Clinic/Group Practice 8123014297 Receives reassigned benefits from 19 practitioners
Practice locations: Alpharetta, GA; Atlanta, GA

National Provider Directory

National Provider Directory

Locations

3180 North Point Pkwy
Ste 102
Alpharetta, GA 30005
Phone (404) 255-8086

3180 North Point Pkwy
Ste 203
Alpharetta, GA 30005
Phone (404) 255-8086

3180 Old Milton Pkwy Ste 203
Alpharetta, GA 30005

975 Johnson Ferry Rd
Ste 5
Atlanta, GA 30342
Phone (404) 255-8086

975 Johnson Ferry Rd
#D203
Sandy Springs, GA 30342

975 Johnson Fy Rd NE
Ste 500
Sandy Springs, GA 30342
Phone (404) 255-8086

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1265412142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 JOHNSON FERRY RD NE",
            "address_2": "SUITE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421619",
            "telephone_number": "404-255-8086",
            "fax_number": "404-531-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 JOHNSON FERRY RD NE",
            "address_2": "SUITE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421619",
            "telephone_number": "404-255-8086",
            "fax_number": "404-531-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BREAST CARE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-18",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BOSSAK",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "404-255-8086",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Sep 11, 2025; 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.