Organization Active NPI

Atlantic Primary Care PLLC

  • Internal Medicine Physician
  • Port Orange, FL
National Provider Identifier
1376167171
Registry record updated Jun 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ATLANTIC PRIMARY CARE PLLC
Practice address
735 Dunlawton Ave Ste B
Port Orange, FL 32127-9226
Phone
(386) 872-5190
Fax
(386) 872-5193
NPI assigned
Jun 8, 2020
Last updated
Jun 8, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2020

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

Authorized official

Name
Dr. Akram Batniji, MDNPI 1588765945
Title
Owner
Phone
(386) 872-5190

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

735 Dunlawton Ave Ste B
Port Orange, FL 32127-9226

Mailing address

PO Box 1092
Enfield, CT 06083-1092
Phone (860) 746-4112

National Provider Directory

National Provider Directory

Locations

735 Dunlawton Ave
Ste B
Port Orange, FL 32127
Phone (386) 872-5190

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1591574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591574400000",
    "number": "1376167171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1092",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060831092",
            "telephone_number": "860-746-4112",
            "fax_number": "386-872-5193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 DUNLAWTON AVE STE B",
            "city": "PORT ORANGE",
            "state": "FL",
            "postal_code": "321279226",
            "telephone_number": "386-872-5190",
            "fax_number": "386-872-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-08",
        "last_updated": "2020-06-08",
        "certification_date": "2020-06-08",
        "status": "A",
        "authorized_official_last_name": "BATNIJI",
        "authorized_official_first_name": "AKRAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-872-5190",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orange, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.