Active NPI
Emory Clinic Inc
- Chronic Disease Hospital
- Atlanta, GA
National Provider Identifier
1467527671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chronic Disease Hospital
- License
- 53910
- Legal business name
- EMORY CLINIC INC
- Practice address
- 101 Woodruff Cir
Room 5105
Atlanta, GA 30322-0001 - Phone
- (404) 727-3599
- NPI assigned
- Nov 22, 2006
- Last updated
- Aug 22, 2020
- 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. Carlos G Fasola, M.D
- Title
- Liver Transplant Surgeon
- Phone
- (404) 727-3599
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chronic Disease Hospital | 281P00000X | 53910 | GA | Primary |
Addresses
Primary practice location
101 Woodruff Cir
Room 5105
Atlanta, GA 30322-0001
Mailing address
101 Woodruff Cir
Room 5105
Atlanta, GA 30322-0001
Phone (404) 727-3599
National Provider Directory
National Provider Directory- Tax ID family
- Emory Clinic ASC
Other organizations with this tax ID 25
Organizations that report the same tax identification number in the National Provider Directory.
-
- Critical Access Hospital
- Atlanta, GA
- NPI 1053537415
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1225281603
-
- Neurology Physician
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- NPI 1376642751
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1235339227
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1417157405
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1508066598
-
- General Acute Care Hospital
- Snellville, GA
- NPI 1598964082
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1992018345
-
- Surgical Physician Assistant
- Atlanta, GA
- NPI 1205939691
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1417194184
-
- Critical Access Hospital
- Atlanta, GA
- NPI 1457543175
-
- Preferred Provider Organization
- Decatur, GA
- NPI 1740547033
Locations
101 Woodruff Cir
Atlanta, GA 30322
Phone (404) 727-4724
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164153600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1467527671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 WOODRUFF CIR",
"address_2": "ROOM 5105",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303220001",
"telephone_number": "404-727-3599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 WOODRUFF CIR",
"address_2": "ROOM 5105",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303220001",
"telephone_number": "404-727-3599"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMORY CLINIC INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-22",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FASOLA",
"authorized_official_first_name": "CARLOS",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "LIVER TRANSPLANT SURGEON",
"authorized_official_telephone_number": "404-727-3599",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "281P00000X",
"taxonomy_group": "",
"desc": "Chronic Disease Hospital",
"state": "GA",
"license": "53910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
- Jana Emmett, PA-C
- Julia Emily Emnett
- Emory Ambulatory Surgery Center at Dunwoody, LLC
- Emory Children's Center
- Emory Childrens Center
- Emory Clinic, Inc.
- Emory Crawford Long Hospital
- Emory Dialysis, LLC (Emory Dialysis at Northside)
- Emory Dialysis, LLC (Emory Dialysis Saint Joseph's)
- Emory Employer Based Health Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.