Active NPI
Strawbridge Health LLC
- Primary Care Clinic/Center
- Decatur, GA
National Provider Identifier
1366972523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 046882
- Legal business name
- STRAWBRIDGE HEALTH LLC
- Practice address
- 4150 Snapfinger Woods Dr Ste 100a
Decatur, GA 30035-3417 - Phone
- (470) 236-8379
- NPI assigned
- Jun 19, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tiffany Lee, MD
- Title
- Physician
- Phone
- (470) 236-8379
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | 046882 | GA | Primary |
Addresses
Primary practice location
4150 Snapfinger Woods Dr Ste 100a
Decatur, GA 30035-3417
Mailing address
4150 Snapfinger Woods Dr Ste 100a
Decatur, GA 30035-3417
Phone (470) 236-8379
National Provider Directory
National Provider DirectoryLocations
4150 Snapfinger Woods Dr
Ste 100A
Decatur, GA 30035
Phone (470) 236-8379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497830400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1366972523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4150 SNAPFINGER WOODS DR STE 100A",
"city": "DECATUR",
"state": "GA",
"postal_code": "300353417",
"telephone_number": "470-236-8379"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4150 SNAPFINGER WOODS DR STE 100A",
"city": "DECATUR",
"state": "GA",
"postal_code": "300353417",
"telephone_number": "470-236-8379"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STRAWBRIDGE HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-19",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "LEE",
"authorized_official_first_name": "TIFFANY",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "470-236-8379",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "GA",
"license": "046882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.