Georgia Regional Hospital

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

RN119661 CNS/PMH Issued in GA

Legal business name

GEORGIA REGIONAL HOSPITAL

Practice address

3073 Panthersville Rd
Decatur, GA 30034-3828

Phone

(404) 243-2100

Fax

(404) 212-4702

NPI assigned

Sep 7, 2011

Last updated

Sep 7, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Emile Risby, MD

Title

Clinical Director

Phone

(404) 243-2100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1315353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315353600000",
    "number": "1407137250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3073 PANTHERVILLE ROAD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300343828",
            "telephone_number": "404-243-2100",
            "fax_number": "404-212-4702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3073 PANTHERSVILLE RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300343828",
            "telephone_number": "404-243-2100",
            "fax_number": "404-212-4702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA REGIONAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-07",
        "last_updated": "2011-09-07",
        "status": "A",
        "authorized_official_last_name": "RISBY",
        "authorized_official_first_name": "EMILE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "404-243-2100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "GA",
            "license": "RN119661 CNS/PMH",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia Ophthalmology Assoc PC
• Georgia Oral Surgery
• Georgia Pain and Spine Institute, PC
• Georgia Pain and Wellness Center, LLC (Summit Spine & Joint Centers)
• Georgia Professional Medical Services LLC
• Georgia Regional Hospital Pharmacy
• Georgia Spine & Neurosurgery Center LLC
• Georgia Spine & Neurosurgery Center, LLC
• Georgia Urology Ambulatory Surgical Center LLC
• Georgia Urology PA

• General Acute Care Hospital in Decatur, GA
• Providers in Decatur, GA by specialty
• General Acute Care Hospital in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2011; 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.