NPIMap

Organization Active NPI

Emory University School of Medicine

  • Critical Access Hospital
  • Atlanta, GA
National Provider Identifier
1457543175
Registry record updated Aug 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
Legal business name
EMORY UNIVERSITY SCHOOL OF MEDICINE
Practice address
1365B Clifton Rd NE
Suite B6100, Department of Neurosurgery
Atlanta, GA 30322-1013
Phone
(404) 727-2354
Fax
(404) 712-8576
NPI assigned
Aug 16, 2007
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Nicholas Matthew Boulis, MD
Title
Neurosurgeon
Phone
(404) 727-2354

Corporate family (same tax ID) 25

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

Practitioners 1

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

National Provider Directory

National Provider Directory
Tax ID family
Emory Crawford Long Hospital (26 organizations share this tax ID)

Locations

1365 Clifton Rd NE
Ste B6100
Atlanta, GA 30322
Phone (404) 778-5526

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X OH Primary

Addresses

NPPES NPI Registry

Primary practice location

1365B Clifton Rd NE
Suite B6100, Department of Neurosurgery
Atlanta, GA 30322-1013

Mailing address

1365B Clifton Rd NE
Suite B6100, Department of Neurosurgery
Atlanta, GA 30322-1013
Phone (404) 727-2354

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 16, 2007.

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187222400000",
    "number": "1457543175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365B CLIFTON RD NE",
            "address_2": "SUITE B6100, DEPARTMENT OF NEUROSURGERY",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221013",
            "telephone_number": "404-727-2354",
            "fax_number": "404-712-8576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365B CLIFTON RD NE",
            "address_2": "SUITE B6100, DEPARTMENT OF NEUROSURGERY",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221013",
            "telephone_number": "404-727-2354",
            "fax_number": "404-712-8576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMORY UNIVERSITY SCHOOL OF MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-16",
        "status": "A",
        "authorized_official_last_name": "BOULIS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "NEUROSURGEON",
        "authorized_official_telephone_number": "404-727-2354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 16, 2007; 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.