Polaris Medical Group LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

052218 Issued in GA

Legal business name

POLARIS MEDICAL GROUP LLC

Practice address

1136 Cleveland Ave
Atlanta, GA 30344

Phone

(404) 766-8110

Fax

(404) 766-8106

NPI assigned

Feb 9, 2007

Last updated

Apr 3, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Lisa C Perry-Gilkes, M.D.NPI 1811989478

Title

Cfo

Phone

(404) 766-8110

Specialties & licenses 2

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa C Perry-Gilkes, M.D.

  • Otolaryngology Physician
  • Atlanta, GA
  • NPI 1811989478
  NPD Authorized official

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238716800000",
    "number": "1366583577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1136 CLEVELAND AVE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30344",
            "telephone_number": "404-766-8110",
            "fax_number": "404-766-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1136 CLEVELAND AVE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30344",
            "telephone_number": "404-766-8110",
            "fax_number": "404-766-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POLARIS MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2009-04-03",
        "status": "A",
        "authorized_official_last_name": "PERRY-GILKES",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "404-766-8110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "052218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "442333125C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Johnson Pointer, MD
• Poised Perseverance LLC
• Alexandria Thea Poitier, MD
• Upasana Pokhrel
• Polaris Center for Outpatient Spine Surgery
• Polaris Spine & Neurosurgery Center PC
• Polaris Spine & Neurosurgery Center PC
• Nisha Polavarapu, M.D.
• Sharon Hartman Polensek, MD., PHD
• Natalie Poliektov, DO

• Specialist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; 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.