Organization Active NPI

Atlanta Urological Group, P.C.

Doing business as Thomas W Schoborg

  • Specialist
  • Atlanta, GA
National Provider Identifier
1285815258
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
016834 Issued in GA
Legal business name
ATLANTA UROLOGICAL GROUP, P.C.
Doing business as
Thomas W Schoborg
Practice address
285 Boulevard NE
Ste 215
Atlanta, GA 30312-4205
Phone
(404) 524-5082
Fax
(404) 521-2977
NPI assigned
Nov 19, 2007
Last updated
Jan 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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

Authorized official

Name
Thomas W Schoborg, M.D.NPI 1386630358
Title
President
Phone
(404) 524-5082

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
Specialist 174400000X 016834 GA Primary

Addresses

Primary practice location

285 Boulevard NE
Ste 215
Atlanta, GA 30312-4205

Mailing address

285 Boulevard NE
Ste 215
Atlanta, GA 30312-4205
Phone (404) 524-5082

Other names 1

  • Thomas W Schoborg Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120104000021 GA Part B Supplier - Clinic/Group Practice 2062688674 Receives reassigned benefits from 1 practitioner
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Locations

285 Boulevard NE
Ste 215
Atlanta, GA 30312
Phone (404) 524-5082

285 Boulevard NE
Ste 510
Atlanta, GA 30312
Phone (404) 524-5082

Practitioners & affiliated clinicians

Practitioners 1

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": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1285815258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 BOULEVARD NE",
            "address_2": "STE 215",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303124205",
            "telephone_number": "404-524-5082",
            "fax_number": "404-521-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "285 BOULEVARD NE",
            "address_2": "STE 215",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303124205",
            "telephone_number": "404-524-5082",
            "fax_number": "404-521-2977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA UROLOGICAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "SCHOBORG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-524-5082",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "016834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomas W Schoborg",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 16, 2008; 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.