Organization Active NPI

Iverson Bell Jr MD PC

  • Psychiatry Physician
  • Atlanta, GA
National Provider Identifier
1306172416
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
021376 Issued in GA
Legal business name
IVERSON BELL JR MD PC
Practice address
3915 Cascade Rd SW
Suite T-148
Atlanta, GA 30331-8512
Phone
(770) 394-9562
Fax
(770) 828-0567
NPI assigned
Oct 23, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2009

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

Authorized official

Name
Dr. Iverson Charles Bell Jr., MD
Title
President
Phone
(770) 394-9562

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X 021376 GA Primary

Addresses

Primary practice location

3915 Cascade Rd SW
Suite T-148
Atlanta, GA 30331-8512

Mailing address

3915 Cascade Rd SW
Suite T-148
Atlanta, GA 30331-8512
Phone (770) 394-9562

National Provider Directory

National Provider Directory

Locations

3915 Cascade Rd SW
Ste T-148
Atlanta, GA 30331
Phone (770) 394-9562

NPI Registry JSON

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

{
    "created_epoch": "1256256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256515200000",
    "number": "1306172416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 CASCADE RD SW",
            "address_2": "SUITE T-148",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318512",
            "telephone_number": "770-394-9562",
            "fax_number": "770-828-0567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 CASCADE RD SW",
            "address_2": "SUITE T-148",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318512",
            "telephone_number": "770-394-9562",
            "fax_number": "770-828-0567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVERSON BELL JR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-23",
        "last_updated": "2009-10-26",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "IVERSON",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-394-9562",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "021376",
            "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 Oct 26, 2009; 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.