NPIMap

Organization Active NPI

The Emory Clinic Inc

  • Internal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1396798229
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
THE EMORY CLINIC INC
Practice address
1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone
(404) 778-2144
Fax
(404) 778-3002
NPI assigned
May 19, 2006
Last updated
Mar 11, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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

Authorized official

Name
Adam Tribbett
Title
Corporate Director
Phone
(404) 778-5294

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Oral and Maxillofacial Surgery (Dentist) 1223S0112X NU
Transplant Surgery Physician 204F00000X NU
Pain Medicine (Anesthesiology) Physician 207LP2900X NU
Dermatopathology Physician 207ND0900X NU
Geriatric Medicine (Family Medicine) Physician 207QG0300X NU
Internal Medicine Physician 207R00000X NU Primary
Cardiovascular Disease Physician 207RC0000X NU
Gastroenterology Physician 207RG0100X NU
Hematology & Oncology Physician 207RH0003X NU
Nephrology Physician 207RN0300X NU
Maternal & Fetal Medicine Physician 207VM0101X NU
Orthopaedic Surgery of the Spine Physician 207XS0117X NU
Diagnostic Radiology Physician 2085R0202X NU
Hospitalist Physician 208M00000X NU

Addresses

Primary practice location

1365 Clifton Rd NE
Atlanta, GA 30322-1013

Mailing address

2201 Henderson Mill Rd NE Ste 160
Atlanta, GA 30345-2711
Phone (404) 778-2144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, KY6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
O20031110000503 GA Part B Supplier - Clinic/Group Practice 8820901408 Receives reassigned benefits from 5,377 practitioners
Practice locations: Atlanta, GA
O20091216000289 GA Part A Provider - End-Stage Renal Disease Facility (ESRD) 9931249364 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Atlanta, GA
O20091216000424 GA Part A Provider - End-Stage Renal Disease Facility (ESRD) 9931249364 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Decatur, GA
O20091216000474 GA Part A Provider - End-Stage Renal Disease Facility (ESRD) 9931249364 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: East Point, GA
O20100930068690 GA DME Supplier - Multi-Specialty - PhysicianDME Supplier - Oxygen & Equipment 8820901408 Practice locations: Atlanta, GA
O20250926003026 KY Part B Supplier - Clinic/Group Practice 8820901408 Receives reassigned benefits from 1 practitioner
Practice locations: Lexington, KY

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Emorty Clinic Inc26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

59 Executive Park S
Ste 100
Atlanta, GA 30329
Phone (404) 778-5234

Use Cl0021
Atlanta, GA 30322
Phone (404) 778-7525

2665 N Decatur Rd
Decatur, GA 30033
Phone (404) 299-2223

Practitioners & affiliated clinicians

Practitioners 5,464

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.

View all 5,464

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646956800000",
    "number": "1396798229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 HENDERSON MILL RD NE STE 160",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452711",
            "telephone_number": "404-778-2144",
            "fax_number": "404-778-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 CLIFTON RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221013",
            "telephone_number": "404-778-2144",
            "fax_number": "404-778-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EMORY CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A",
        "authorized_official_last_name": "TRIBBETT",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "CORPORATE DIRECTOR",
        "authorized_official_telephone_number": "404-778-5294"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "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 Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.