Active NPI
Atlanta Treatment LLC
- Clinic/Center
- Marietta, GA
National Provider Identifier
1275124992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- ATLANTA TREATMENT LLC
- Practice address
- 1640 Powers Ferry Rd SE BLDG 15-200
Marietta, GA 30067-1482 - Phone
- (678) 379-3111
- NPI assigned
- Jan 27, 2021
- 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
- Dr. Joshua Yager, MD
- Title
- Medical Director
- Phone
- (404) 626-0807
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
1640 Powers Ferry Rd SE BLDG 15-200
Marietta, GA 30067-1482
Mailing address
1640 Powers Ferry Rd SE BLDG 15-200
Marietta, GA 30067-1482
Phone (678) 379-3111
National Provider Directory
National Provider DirectoryLocations
1640 Powers Ferry Rd SE
Fl 2
Marietta, GA 30067
1640 Powers Ferry Rd SE
Ste 200
Marietta, GA 30067
Phone (470) 524-0884
1640 Powers Ferry Rd SE
Bldg 15-200
Marietta, GA 30067
Phone (678) 379-3111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1640131200000",
"number": "1275124992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1640 POWERS FERRY RD SE BLDG 15-200",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300671482",
"telephone_number": "678-379-3111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 POWERS FERRY RD SE BLDG 15-200",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300671482",
"telephone_number": "678-379-3111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ATLANTA TREATMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-01-27",
"last_updated": "2021-12-22",
"certification_date": "2021-12-22",
"status": "A",
"authorized_official_last_name": "YAGER",
"authorized_official_first_name": "JOSHUA",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "404-626-0807",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.