Myidealdoctor LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MYIDEALDOCTOR LLC

Practice address

5665 New Northside Dr
Atlanta, GA 30328-5831

Phone

(855) 879-4332

NPI assigned

Nov 14, 2017

Organization subpart

Yes

Parent organization

MYIDEALDOCTOR LLCAs reported in NPPES

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

Authorized official

Name

Adrian Paul Davis

Title

Founder

Phone

(855) 879-4332

Specialties & licenses 1

Addresses

Tax ID family

Myidealdoctor LLC2 organizations share this tax ID, including this one

Part of

Myidealdoctor LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Myidealdoctor LLC

  • General Practice Physician
  • Atlanta, GA
  • NPI 1538527635
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Myidealdoctor LLC

  • General Practice Physician
  • Atlanta, GA
  • NPI 1538527635
  NPPES parent name

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510617600000",
    "number": "1346753241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6760",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317586760",
            "telephone_number": "855-879-4332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5665 NEW NORTHSIDE DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285831",
            "telephone_number": "855-879-4332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYIDEALDOCTOR LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MYIDEALDOCTOR LLC",
        "enumeration_date": "2017-11-14",
        "last_updated": "2017-11-14",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "855-879-4332"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Myeyedr Optometry of Georgia, LLC
• Myeyedr Optometry of Georgia, LLC
• Myeyedr. Optometry of Georgia, LLC
• Myidealdoctor LLC
• Katherine V Mykytka, PHARM.D.
• Lisa Myla, PT
• Kendrick Myles
• Rebecca I Myles, PA

• Community/Behavioral Health Agency in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2017; 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.