Organization Active NPI

J Dewayne Colquitt MD LLC

  • Surgery Physician
  • Atlanta, GA
National Provider Identifier
1467825281
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
J DEWAYNE COLQUITT MD LLC
Practice address
35 Collier Rd NW Ste 675
Atlanta, GA 30309-1612
Phone
(404) 355-9255
Fax
(404) 355-5822
NPI assigned
Nov 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Authorized official

Name
Dr. James Dewayne Colquitt, M.D.
Title
Owner
Phone
(404) 735-0208

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary
Medical Specialty Clinic/Center 261QM2500X

Addresses

Primary practice location

35 Collier Rd NW Ste 675
Atlanta, GA 30309-1612

Mailing address

1173 Citadel Dr NE
Atlanta, GA 30324-3815
Phone (404) 355-9255

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447286400000",
    "number": "1467825281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1173 CITADEL DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243815",
            "telephone_number": "404-355-9255",
            "fax_number": "404-355-5822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 COLLIER RD NW STE 675",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091612",
            "telephone_number": "404-355-9255",
            "fax_number": "404-355-5822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J DEWAYNE COLQUITT MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-02",
        "last_updated": "2015-11-12",
        "status": "A",
        "authorized_official_last_name": "COLQUITT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "DEWAYNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-735-0208",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Nov 12, 2015; 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.