Organization Active NPI

Surgical & Bariatric Associates of Atlanta Medical Center, LLC

  • Surgery Physician
  • Atlanta, GA
National Provider Identifier
1275816472
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.