Active NPI
Surgical & Bariatric Associates of Atlanta Medical Center, LLC
- Surgery Physician
- Atlanta, GA
National Provider Identifier
1275816472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- SURGICAL & BARIATRIC ASSOCIATES OF ATLANTA MEDICAL CENTER, LLC
- Practice address
- 285 Boulevard NE
Suite 120
Atlanta, GA 30312-4205 - Phone
- (404) 881-8020
- Fax
- (678) 553-3179
- NPI assigned
- Sep 23, 2011
- Last updated
- Jun 23, 2016
- 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
- Mr. Michael Kyle Use Michael 'Kyle' K. Burtnett; SVP
- Title
- SVP of Outpatient Services, Tenet
- Phone
- (469) 893-2153
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
285 Boulevard NE
Suite 120
Atlanta, GA 30312-4205
Mailing address
PO Box 741863
Atlanta, GA 30374-1863
Phone (404) 881-8020
National Provider Directory
National Provider DirectoryLocations
285 Boulevard NE
Ste 210
Atlanta, GA 30312
Phone (404) 594-4095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1466640000000",
"number": "1275816472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 741863",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303741863",
"telephone_number": "404-881-8020",
"fax_number": "678-553-3179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 BOULEVARD NE",
"address_2": "SUITE 120",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303124205",
"telephone_number": "404-881-8020",
"fax_number": "678-553-3179"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SURGICAL & BARIATRIC ASSOCIATES OF ATLANTA MEDICAL CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-23",
"last_updated": "2016-06-23",
"status": "A",
"authorized_official_last_name": "USE MICHAEL 'KYLE' K. BURTNETT; SVP",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "KYLE",
"authorized_official_title_or_position": "SVP OF OUTPATIENT SERVICES, TENET",
"authorized_official_telephone_number": "469-893-2153",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"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 Jun 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.