Active NPI
Just Breast, LLC
- Surgery Physician
- Atlanta, GA
National Provider Identifier
1457789570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 59206
- Legal business name
- JUST BREAST, LLC
- Practice address
- 1841 Hedge Rose Dr NE
Atlanta, GA 30324-2784 - Phone
- (708) 320-1465
- Fax
- (404) 343-0888
- NPI assigned
- Oct 29, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. April Latrice Speed, MD
- Title
- Ceo
- Phone
- (708) 320-1465
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 59206 | GA | Primary |
Addresses
Primary practice location
1841 Hedge Rose Dr NE
Atlanta, GA 30324-2784
Mailing address
1800 Howell Mill Rd NW
Atlanta, GA 30318-2538
Phone (708) 320-1465
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Atlanta, GA
- NPI 1841464609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383004800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1383004800000",
"number": "1457789570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 HOWELL MILL RD NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303182538",
"telephone_number": "708-320-1465",
"fax_number": "404-343-0888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1841 HEDGE ROSE DR NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303242784",
"telephone_number": "708-320-1465",
"fax_number": "404-343-0888"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUST BREAST, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-10-29",
"last_updated": "2013-10-29",
"status": "A",
"authorized_official_last_name": "SPEED",
"authorized_official_first_name": "APRIL",
"authorized_official_middle_name": "LATRICE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "708-320-1465",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": "GA",
"license": "59206",
"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 Oct 29, 2013; 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.