NPIMap

Organization Active NPI

Tagta, LLC

  • Clinic/Center
  • Smyrna, GA
National Provider Identifier
1386040426
Registry record updated Nov 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
002588 Issued in GA
Legal business name
TAGTA, LLC
Practice address
4015 S Cobb Dr SE
Suite 115
Smyrna, GA 30080-6303
Phone
(770) 431-2354
Fax
(770) 436-7143
NPI assigned
Nov 18, 2014
Organization subpart
Yes
Parent organization
TAGTA,LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 18, 2014

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

Authorized official

Name
Mrs. Asley Tagtacian
Title
Owner
Phone
(770) 431-2354

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 002588 GA Primary

Addresses

Primary practice location

4015 S Cobb Dr SE
Suite 115
Smyrna, GA 30080-6303

Mailing address

4015 S Cobb Dr SE
Suite 115
Smyrna, GA 30080-6303
Phone (770) 431-2354

Other names 1

  • GBHP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Personal Recovery Network9 organizations share this tax ID, including this one
Part of
Personal Recovery Network

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1386040426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 S COBB DR SE",
            "address_2": "SUITE 115",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806303",
            "telephone_number": "770-431-2354",
            "fax_number": "770-436-7143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 S COBB DR SE",
            "address_2": "SUITE 115",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806303",
            "telephone_number": "770-431-2354",
            "fax_number": "770-436-7143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAGTA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TAGTA,LLC",
        "enumeration_date": "2014-11-18",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "TAGTACIAN",
        "authorized_official_first_name": "ASLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-431-2354",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "002588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GBHP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.