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
Last updated
Aug 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2007

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

Authorized official

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

Specialties & licenses 1

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

Addresses

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

National Provider Directory

National Provider Directory
Tax ID family
Emory Clinic ASC26 organizations share this tax ID, including this one

Other organizations with this tax ID 25

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

View all 25

Locations

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

Practitioners & affiliated clinicians

Practitioners 1

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": "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.