NPIMap

Organization Active NPI

Grady Health System

  • General Acute Care Hospital
  • Atlanta, GA
National Provider Identifier
1356594188
Registry record updated Oct 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
4024 Issued in GA
Legal business name
GRADY HEALTH SYSTEM
Practice address
80 Jesse Hill Jr Dr SE
Chief Anesthetist-PO 26-074
Atlanta, GA 30303-3031
Phone
(404) 616-5519
Fax
(404) 616-9213
NPI assigned
Oct 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2008

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

Authorized official

Name
Mr. Jeff Dean Richards, PA-C
Title
Chief Anesthetist
Phone
(404) 616-5519

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 4024 GA Primary

Addresses

Primary practice location

80 Jesse Hill Jr Dr SE
Chief Anesthetist-PO 26-074
Atlanta, GA 30303-3031

Mailing address

80 Jesse Hill Jr Dr SE
Chief Anesthetist-PO 26-074
Atlanta, GA 30303-3031
Phone (404) 616-5519

National Provider Directory

National Provider Directory
Tax ID family
Grady Memorial Hospital Corporation15 organizations share this tax ID, including this one

Other organizations with this tax ID 14

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

View all 14

Locations

80 Jesse Hill Jr Dr SE
#26074
Atlanta, GA 30303

NPI Registry JSON

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

{
    "created_epoch": "1224806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224806400000",
    "number": "1356594188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 JESSE HILL JR DR SE",
            "address_2": "CHIEF ANESTHETIST-PO 26-074",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033031",
            "telephone_number": "404-616-5519",
            "fax_number": "404-616-9213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 JESSE HILL JR DR SE",
            "address_2": "CHIEF ANESTHETIST-PO 26-074",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033031",
            "telephone_number": "404-616-5519",
            "fax_number": "404-616-9213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRADY HEALTH SYSTEM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-24",
        "last_updated": "2008-10-24",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "CHIEF ANESTHETIST",
        "authorized_official_telephone_number": "404-616-5519",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "GA",
            "license": "4024",
            "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 Oct 24, 2008; 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.