NPIMap

Organization Active NPI

Georgia Institute of Technology

  • Student Health Clinic/Center
  • Atlanta, GA
National Provider Identifier
1396873527
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
License
PHRE005743 Issued in GA
Legal business name
GEORGIA INSTITUTE OF TECHNOLOGY
Doing business as
Stamps Health Services
Practice address
740 Ferst Drive, NW
Atlanta, GA 30332-0470
Phone
(404) 894-1430
Fax
(404) 894-4142
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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

Authorized official

Name
Gregory Moore, M.D.NPI 1497737993
Title
Senior Director
Phone
(404) 895-3256

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X PHRE005743 GA Primary

Addresses

Primary practice location

740 Ferst Drive, NW
Atlanta, GA 30332-0470

Mailing address

740 Ferst Drive, NW
Atlanta, GA 30332-0470
Phone (404) 894-7294

Other names 1

  • Stamps Health Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Georgia Institute of Technology2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1396873527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 FERST DRIVE, NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303320470",
            "telephone_number": "404-894-7294",
            "fax_number": "404-894-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 FERST DRIVE, NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303320470",
            "telephone_number": "404-894-1430",
            "fax_number": "404-894-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA INSTITUTE OF TECHNOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "SENIOR DIRECTOR",
        "authorized_official_telephone_number": "404-895-3256",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "GA",
            "license": "PHRE005743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stamps Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 15, 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.