NPIMap

Organization Active NPI

Joseph Khouri MD, PC

  • Legal Medicine
  • Smyrna, GA
National Provider Identifier
1356557409
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
License
24698 Issued in GA
Legal business name
JOSEPH KHOURI MD, PC
Practice address
3969 S Cobb Dr SE
Ste 110
Smyrna, GA 30080-6358
Phone
(770) 438-1002
Fax
(770) 438-7223
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Stacey Anderson
Title
Office Manager
Phone
(770) 438-1002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 24698 GA Primary

Addresses

Primary practice location

3969 S Cobb Dr SE
Ste 110
Smyrna, GA 30080-6358

Mailing address

3969 S Cobb Dr SE
Ste 110
Smyrna, GA 30080-6358
Phone (770) 438-1002

National Provider Directory

National Provider Directory

Locations

3969 S Cobb Dr SE
Ste 110
Smyrna, GA 30080
Phone (770) 438-1002

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1356557409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3969 S COBB DR SE",
            "address_2": "STE 110",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806358",
            "telephone_number": "770-438-1002",
            "fax_number": "770-438-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3969 S COBB DR SE",
            "address_2": "STE 110",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806358",
            "telephone_number": "770-438-1002",
            "fax_number": "770-438-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH KHOURI MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-438-1002",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "GA",
            "license": "24698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.