Organization Active NPI

Catalyst Physical Medicine LLC

  • General Practice Physician
  • Alpharetta, GA
National Provider Identifier
1396080925
Registry record updated Dec 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
64776 Issued in GA
Legal business name
CATALYST PHYSICAL MEDICINE LLC
Practice address
4914 Atlanta Hwy
Alpharetta, GA 30004-2921
Phone
(770) 833-7907
NPI assigned
Dec 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2012

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

Authorized official

Name
Jennifer L Dorgan
Title
President
Phone
(917) 881-9735

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 64776 GA Primary

Addresses

Primary practice location

4914 Atlanta Hwy
Alpharetta, GA 30004-2921

Mailing address

4914 Atlanta Hwy
Alpharetta, GA 30004-2921
Phone (770) 833-7907

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1354924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354924800000",
    "number": "1396080925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4914 ATLANTA HWY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300042921",
            "telephone_number": "770-833-7907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4914 ATLANTA HWY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300042921",
            "telephone_number": "770-833-7907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATALYST PHYSICAL MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-08",
        "last_updated": "2012-12-08",
        "status": "A",
        "authorized_official_last_name": "DORGAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-881-9735"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "GA",
            "license": "64776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

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