Organization Active NPI

Precision Medical Center PC

  • Gastroenterology Physician
  • Atlanta, GA
National Provider Identifier
1346762838
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
59779 Issued in GA
Legal business name
PRECISION MEDICAL CENTER PC
Practice address
4646 N Shallowford Rd Ste 555
Atlanta, GA 30338-6308
Phone
(404) 290-1029
NPI assigned
Jul 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Authorized official

Name
Antoine Trammell, MD
Title
Medical Director
Phone
(770) 462-2329

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 59779 GA Primary

Addresses

Primary practice location

4646 N Shallowford Rd Ste 555
Atlanta, GA 30338-6308

Mailing address

3545 Broad St Unit 81690
Atlanta, GA 30366-2116
Phone (404) 290-1029

National Provider Directory

National Provider Directory

Locations

4646 N Shallowford Rd
Ste 555
Atlanta, GA 30338
Phone (404) 290-1029

3545 Broad St
Unit 81690
Atlanta, GA 30366

200 Parkbrooke Dr
Ste 100
Woodstock, GA 30189
Phone (770) 218-9002

NPI Registry JSON

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579046400000",
    "number": "1346762838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 BROAD ST UNIT 81690",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303662116",
            "telephone_number": "404-290-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 N SHALLOWFORD RD STE 555",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386308",
            "telephone_number": "404-290-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECISION MEDICAL CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-17",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A",
        "authorized_official_last_name": "TRAMMELL",
        "authorized_official_first_name": "ANTOINE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "770-462-2329",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "59779",
            "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 Jan 15, 2020; 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.