Organization Active NPI

Essential Medical Care

  • Obesity Medicine (Family Medicine) Physician
  • College Park, GA
National Provider Identifier
1285961011
Registry record updated Dec 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X
License
031032 Issued in GA
Legal business name
ESSENTIAL MEDICAL CARE
Practice address
1897 Godby Road
College Park, GA 30349
Phone
(404) 300-9657
Fax
(404) 344-6991
NPI assigned
Nov 16, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2009

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

Authorized official

Name
Vickie Ann James, M.D.NPI 1184706749
Title
Ceo/Owner
Phone
(404) 300-9657

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
Obesity Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QB0002X 031032 GA Primary

Addresses

Primary practice location

1897 Godby Road
College Park, GA 30349

Mailing address

1897 Godby Road
College Park, GA 30349
Phone (404) 300-9657

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091230000069 GA Part B Supplier - Clinic/Group Practice 1153461934 Receives reassigned benefits from 1 practitioner
Practice locations: College Park, GA

National Provider Directory

National Provider Directory

Locations

5100 Old Bill Cook Rd
College Park, GA 30349
Phone (404) 344-6991

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1258329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259712000000",
    "number": "1285961011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1897 GODBY ROAD",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "30349",
            "telephone_number": "404-300-9657",
            "fax_number": "404-344-6911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1897 GODBY ROAD",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "30349",
            "telephone_number": "404-300-9657",
            "fax_number": "404-344-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-16",
        "last_updated": "2009-12-02",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "404-300-9657",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QB0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "GA",
            "license": "031032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; 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.