Organization Active NPI

Norcross MC Inc

  • Legal Medicine
  • Norcross, GA
National Provider Identifier
1457551046
Registry record updated Dec 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
Legal business name
NORCROSS MC INC
Practice address
5555 Buford Hwy
#509
Norcross, GA 30071-3957
Phone
(404) 551-7226
NPI assigned
Jul 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2007

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

Authorized official

Name
Mr. Jose Carlos Rios Betancourt
Title
Owner
Phone
(404) 551-7226

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193200000X MULTI-SPECIALTY GROUP 173000000X Primary

Addresses

Primary practice location

5555 Buford Hwy
#509
Norcross, GA 30071-3957

Mailing address

5555 Buford Hwy
#509
Norcross, GA 30071-3957
Phone (404) 551-7226

National Provider Directory

National Provider Directory

Locations

5555 Buford Hwy
Ste 509
Norcross, GA 30071
Phone (404) 551-7226

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1457551046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 BUFORD HWY",
            "address_2": "#509",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300713957",
            "telephone_number": "404-551-7226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 BUFORD HWY",
            "address_2": "#509",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300713957",
            "telephone_number": "404-551-7226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORCROSS MC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "RIOS BETANCOURT",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-551-7226",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.