NPIMap

Organization Active NPI

Atl Colorectal Surgery

  • Colon & Rectal Surgery Physician
  • Atlanta, GA
National Provider Identifier
1316146483
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
53247 Issued in GA
Legal business name
ATL COLORECTAL SURGERY
Practice address
95 Collier Rd NW
Suite 4025
Atlanta, GA 30309-1796
Phone
(404) 574-5820
Fax
(404) 574-5821
NPI assigned
Jul 17, 2007
Last updated
May 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Monica Hum, M. D.NPI 1518959634
Title
Pres
Phone
(404) 574-5820

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 53247 GA Primary

Addresses

Primary practice location

95 Collier Rd NW
Suite 4025
Atlanta, GA 30309-1796

Mailing address

2221 Peachtree Rd NE
Suite D442
Atlanta, GA 30309-1148
Phone (404) 574-5820

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080423000128 GA Part B Supplier - Clinic/Group Practice 4183702780 Receives reassigned benefits from 5 practitioners
Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Locations

2221 Peachtree Rd NE
Ste D442
Atlanta, GA 30309

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CJAEAA

Practitioners & affiliated clinicians

Practitioners 8

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": "1184630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1316146483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2221 PEACHTREE RD NE",
            "address_2": "SUITE D442",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091148",
            "telephone_number": "404-574-5820",
            "fax_number": "619-789-6513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 COLLIER RD NW",
            "address_2": "SUITE 4025",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091796",
            "telephone_number": "404-574-5820",
            "fax_number": "404-574-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATL COLORECTAL SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-17",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "HUM",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "PRES",
        "authorized_official_telephone_number": "404-574-5820",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "GA",
            "license": "53247",
            "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 May 27, 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.