Atlanta Medical Clinic of Midtown LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

ATLANTA MEDICAL CLINIC OF MIDTOWN LLC

Practice address

197 14TH St NW Ste 300B
Atlanta, GA 30318-7815

Phone

(404) 872-8837

NPI assigned

Sep 26, 2023

Last updated

Sep 26, 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

Timothy J DembowskiNPI 1891801676

Title

Authorized Official

Phone

(404) 872-8837

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 8

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.

• Timothy J Dembowski, D.C.

  • Chiropractor
  • Atlanta, GA
  • NPI 1891801676
  Medicare reassignment Care Compare group NPD Authorized official
• Parrin Tareyl Barton, M.D.

  • Family Medicine Physician
  • Sandersville, GA
  • NPI 1093757239
  Medicare reassignment Care Compare group NPD
• Jeremias Rafael Duarte, DO

  • General Practice Physician
  • Atlanta, GA
  • NPI 1780189514
  Medicare reassignment Care Compare group NPD
• Aly Hashim

  • Family Medicine Physician
  • Woodstock, GA
  • NPI 1700366887
  Medicare reassignment Care Compare group NPD
• Kevin T. Lie, MD

  • Vascular & Interventional Radiology Physician
  • Atlanta, GA
  • NPI 1659570455
  Medicare reassignment Care Compare group NPD
• Leith Audrey Fitch, PA-C

  • Physician Assistant
  • Smyrna, GA
  • NPI 1821284027
  Medicare reassignment Care Compare group
• Laquanda Spince, NP

  • Family Nurse Practitioner
  • Jonesboro, GA
  • NPI 1396101796
  Medicare reassignment NPD
• Sendhil K Subramanian, MD

  • Diagnostic Radiology Physician
  • Atlanta, GA
  • NPI 1902883168
  Medicare reassignment NPD

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

{
    "created_epoch": "1695686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1457130759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 14TH ST NW STE 300B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303187815",
            "telephone_number": "404-872-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 14TH ST NW STE 300B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303187815",
            "telephone_number": "404-872-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA MEDICAL CLINIC OF MIDTOWN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-26",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "DEMBOWSKI",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "404-872-8837"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Medicine & Rehabilitation Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physical Medicine & Rehabilitation Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; 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.