Perimeter Insitute for Clinical Research, Inc.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD000845 Issued in GA

Legal business name

PERIMETER INSITUTE FOR CLINICAL RESEARCH, INC.

Doing business as

PICR Clinic

Practice address

9 Dunwoody Park
Suite 126
Atlanta, GA 30338

Phone

(770) 986-3885

Fax

(770) 986-3887

NPI assigned

May 20, 2009

Organization subpart

No

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

Authorized official

Name

Mrs. Suzanne Hong Margeson Sr., RD

Title

President

Phone

(770) 986-3885

Specialties & licenses 1

Addresses

Other names 1

• PICR Clinic Doing business as

Locations

Practitioners 2

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

• David K Pack, M.D.

  • Rehabilitation Practitioner
  • Norcross, GA
  • NPI 1568676823
  NPD (past)
• Chandresh B. Shah, M.D.

  • Internal Medicine Physician
  • Austell, GA
  • NPI 1770655987
  NPD (past)

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

{
    "created_epoch": "1242777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402876800000",
    "number": "1366677304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 DUNWOODY PARK",
            "address_2": "SUITE 126",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30338",
            "telephone_number": "770-986-3885",
            "fax_number": "770-986-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 DUNWOODY PARK",
            "address_2": "SUITE 126",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30338",
            "telephone_number": "770-986-3885",
            "fax_number": "770-986-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERIMETER INSITUTE FOR CLINICAL RESEARCH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-20",
        "last_updated": "2014-06-16",
        "status": "A",
        "authorized_official_last_name": "MARGESON",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "HONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-986-3885",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD000845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PICR Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Registered Dietitian in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; 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.