Aetna Life Insurance Company

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

AETNA LIFE INSURANCE COMPANY

Practice address

2000 Riveredge Pkwy Ste 200
Atlanta, GA 30328-4694

Phone

(470) 279-0027

NPI assigned

Nov 15, 2023

Last updated

Nov 15, 2023By 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

Mr. Edward C Lee

Title

Vice President & Secretary

Phone

(860) 273-8329

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1427823913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 RIVEREDGE PKWY STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 RIVEREDGE PKWY STE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284694",
            "telephone_number": "470-279-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AETNA LIFE INSURANCE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-14",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "VICE PRESIDENT & SECRETARY",
        "authorized_official_telephone_number": "860-273-8329",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Health Maintenance Organization in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.