Organization Active NPI

Senior Care Plus Limited Liability Company

  • Geriatric Medicine (Family Medicine) Physician
  • Suwanee, GA
National Provider Identifier
1457604381
Registry record updated Oct 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
054904 Issued in GA
Legal business name
SENIOR CARE PLUS LIMITED LIABILITY COMPANY
Practice address
990 Peachtree Industrial Blvd Number 4532
Suwanee, GA 30024-5249
Phone
(678) 475-1400
NPI assigned
Oct 16, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2012

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

Authorized official

Name
Dr. Kirpich Joseph, M.D.
Title
President
Phone
(678) 475-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QG0300X 054904 GA Primary

Addresses

Primary practice location

990 Peachtree Industrial Blvd Number 4532
Suwanee, GA 30024-5249

Mailing address

990 Peachtree Industrial Blvd Unit 4532
Suwanee, GA 30024-5249
Phone (678) 475-1400

Other names 1

  • Senior Care Plus Doing business as

National Provider Directory

National Provider Directory

Locations

990 Peachtree Industrial Blvd
Unit 4532
Suwanee, GA 30024
Phone (678) 475-1400

NPI Registry JSON

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

{
    "created_epoch": "1350345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350345600000",
    "number": "1457604381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 PEACHTREE INDUSTRIAL BLVD UNIT 4532",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300245249",
            "telephone_number": "678-475-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 PEACHTREE INDUSTRIAL BLVD NUMBER 4532",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300245249",
            "telephone_number": "678-475-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE PLUS LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-16",
        "last_updated": "2012-10-16",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "KIRPICH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-475-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "GA",
            "license": "054904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Senior Care Plus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2012; 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.