Organization Active NPI

Physicals & Health Matters Mobile

  • Clinical Medical Laboratory
  • Atlanta, GA
National Provider Identifier
1396476461
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
PHYSICALS & HEALTH MATTERS MOBILE
Practice address
6595 Roswell Rd
Atlanta, GA 30328-3152
Phone
(844) 523-5523
NPI assigned
Jun 21, 2022
Last updated
Jun 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Authorized official

Name
Dejanay Dawson, RMA
Title
Owner
Phone
(470) 227-5458

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

6595 Roswell Rd
Atlanta, GA 30328-3152

Mailing address

6595 Roswell Rd
Atlanta, GA 30328-3152
Phone (844) 523-5523

National Provider Directory

National Provider Directory

Locations

6595 Roswell Rd
Sandy Springs, GA 30328
Phone (470) 242-1235

NPI Registry JSON

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

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655769600000",
    "number": "1396476461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6595 ROSWELL RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303283152",
            "telephone_number": "844-523-5523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6595 ROSWELL RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303283152",
            "telephone_number": "844-523-5523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICALS & HEALTH MATTERS MOBILE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "DEJANAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-227-5458",
        "authorized_official_credential": "RMA"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

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

Verify at the official NPI Registry.