Active NPI
Greater Atlanta Monitoring, LLC
- Clinical Neurophysiology Physician
- Suwanee, GA
National Provider Identifier
1467937235
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neurophysiology Physician
- Legal business name
- GREATER ATLANTA MONITORING, LLC
- Practice address
- 3651 Peachtree Ste E. #331
Suwanee, GA 30024 - Phone
- (470) 202-7709
- NPI assigned
- Sep 27, 2018
- 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
- Lizette Morin
- Title
- MDMS Npi Compliance Officer
- Phone
- (210) 598-2801
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electrodiagnostic Medicine Physician | 204R00000X | |||
| Neurology Physician | 2084N0400X | |||
| Clinical Neurophysiology Physician | 2084N0600X | Primary | ||
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X |
Addresses
Primary practice location
3651 Peachtree Ste E. #331
Suwanee, GA 30024
Mailing address
3651 Peachtree Ste E. #331
Suwanee, GA 30024
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1538006400000",
"number": "1467937235",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3651 PEACHTREE STE E. #331",
"city": "SUWANEE",
"state": "GA",
"postal_code": "30024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3651 PEACHTREE STE E. #331",
"city": "SUWANEE",
"state": "GA",
"postal_code": "30024",
"telephone_number": "470-202-7709"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREATER ATLANTA MONITORING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-27",
"last_updated": "2018-09-27",
"status": "A",
"authorized_official_last_name": "MORIN",
"authorized_official_first_name": "LIZETTE",
"authorized_official_title_or_position": "MDMS NPI COMPLIANCE OFFICER",
"authorized_official_telephone_number": "210-598-2801"
},
"taxonomies": [
{
"code": "204R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Electrodiagnostic Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": null,
"license": null,
"primary": true
},
{
"code": "246ZE0600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.