Organization Active NPI

Ehi Clinical Study Research Center, LLC.

  • Podiatrist
  • Roswell, GA
National Provider Identifier
1467039826
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
EHI CLINICAL STUDY RESEARCH CENTER, LLC.
Practice address
1357 Hembree Rd Ste 101
Roswell, GA 30076-5722
Phone
(770) 280-2406
NPI assigned
Mar 24, 2021
Organization subpart
Yes
Parent organization
EXTREMITY HEALTHCARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Authorized official

Name
Mitchell P. Hilsen, DPM
Title
Chief Medical Officer
Phone
(678) 426-2171

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X Primary

Addresses

Primary practice location

1357 Hembree Rd Ste 101
Roswell, GA 30076-5722

Mailing address

900 Circle 75 Pkwy SE Ste 900
Atlanta, GA 30339-3084
Phone (678) 426-2171

National Provider Directory

National Provider Directory

Locations

1357 Hembree Rd
Ste 101
Roswell, GA 30076
Phone (770) 280-2406

NPI Registry JSON

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

{
    "created_epoch": "1616544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616544000000",
    "number": "1467039826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 CIRCLE 75 PKWY SE STE 900",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303393084",
            "telephone_number": "678-426-2171",
            "fax_number": "404-446-1957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1357 HEMBREE RD STE 101",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765722",
            "telephone_number": "770-280-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EHI CLINICAL STUDY RESEARCH CENTER, LLC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EXTREMITY HEALTHCARE, INC.",
        "enumeration_date": "2021-03-24",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A",
        "authorized_official_last_name": "HILSEN",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "678-426-2171",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; 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.