NPIMap

Organization Active NPI

Rockdale Physician Practices, LLC

  • Family Medicine Physician
  • Conyers, GA
National Provider Identifier
1346587581
Registry record updated Jan 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
032107 Issued in GA
Legal business name
ROCKDALE PHYSICIAN PRACTICES, LLC
Practice address
1039 E Freeway Dr SE
Conyers, GA 30094-5965
Phone
(770) 922-0076
Fax
(770) 922-0734
NPI assigned
Jan 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2013

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

Authorized official

Name
Daniel Sykes
Title
Vice President
Phone
(615) 372-8505

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 032107 GA Primary

Addresses

Primary practice location

1039 E Freeway Dr SE
Conyers, GA 30094-5965

Mailing address

PO Box 116202
Atlanta, GA 30368-6202
Phone (770) 922-0734

Other names 1

  • Premier Healthcare Alliance Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1357603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357603200000",
    "number": "1346587581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 116202",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303686202",
            "telephone_number": "770-922-0734",
            "fax_number": "770-922-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1039 E FREEWAY DR SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945965",
            "telephone_number": "770-922-0076",
            "fax_number": "770-922-0734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKDALE PHYSICIAN PRACTICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-08",
        "last_updated": "2013-01-08",
        "status": "A",
        "authorized_official_last_name": "SYKES",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "615-372-8505"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "032107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Healthcare Alliance",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2013; 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.