NPIMap

Organization Active NPI

Crosslinks Medical Services and Reh LLC

  • Family Medicine Physician
  • Stone Mountain, GA
National Provider Identifier
1447438825
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
047692 Issued in GA
Legal business name
CROSSLINKS MEDICAL SERVICES AND REH LLC
Practice address
5470 Memorial Dr
Suite a
Stone Mountain, GA 30083-3268
Phone
(404) 296-8500
Fax
(404) 296-9005
NPI assigned
Feb 7, 2008
Last updated
Feb 7, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Authorized official

Name
Dr. Zavier C Ash, M.DNPI 1770569204
Title
Medical Director
Phone
(404) 296-8500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 047692 GA Primary

Addresses

Primary practice location

5470 Memorial Dr
Suite a
Stone Mountain, GA 30083-3268

Mailing address

5470 Memorial Dr
Suite a
Stone Mountain, GA 30083-3268
Phone (404) 296-8500

Other identifiers 1

IdentifierTypeStateIssuer
000863464EMedicaidGA

National Provider Directory

National Provider Directory

Locations

5470 Memorial Dr
Ste A
Stone Mtn, GA 30083
Phone (404) 296-8500

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1202342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202342400000",
    "number": "1447438825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5470 MEMORIAL DR",
            "address_2": "SUITE A",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833268",
            "telephone_number": "404-296-8500",
            "fax_number": "404-296-9005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5470 MEMORIAL DR",
            "address_2": "SUITE A",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833268",
            "telephone_number": "404-296-8500",
            "fax_number": "404-296-9005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSLINKS MEDICAL SERVICES AND REH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-07",
        "last_updated": "2008-02-07",
        "status": "A",
        "authorized_official_last_name": "ASH",
        "authorized_official_first_name": "ZAVIER",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "404-296-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "047692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000863464E",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2008; 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.