Organization Active NPI

Total Quality Management Professional Corporation Services

  • Pain Medicine (Anesthesiology) Physician
  • Marietta, GA
National Provider Identifier
1376808154
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
TOTAL QUALITY MANAGEMENT PROFESSIONAL CORPORATION SERVICES
Practice address
2483 Powder Springs Rd SW Ste B
Marietta, GA 30064-4573
Phone
(770) 739-7575
Fax
(770) 439-7550
NPI assigned
Jul 9, 2012
Last updated
Jul 9, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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

Authorized official

Name
Lionel Johnson
Title
Coo
Phone
(770) 439-7575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

2483 Powder Springs Rd SW Ste B
Marietta, GA 30064-4573

Mailing address

2483 Powder Springs Rd SW Ste B
Marietta, GA 30064-4573
Phone (770) 739-7575

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1376808154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2483 POWDER SPRINGS RD SW STE B",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300644573",
            "telephone_number": "770-739-7575",
            "fax_number": "770-439-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2483 POWDER SPRINGS RD SW STE B",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300644573",
            "telephone_number": "770-739-7575",
            "fax_number": "770-439-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL QUALITY MANAGEMENT PROFESSIONAL CORPORATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-09",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LIONEL",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "770-439-7575"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2012; 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.