Atlanta Knee and Shoulder Clinic PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

ATLANTA KNEE AND SHOULDER CLINIC PC

Practice address

3200 Downwood Cir NW Ste 410
Atlanta, GA 30327

Phone

(404) 352-4779

Fax

(404) 351-0551

NPI assigned

Jul 19, 2018

Organization subpart

No

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

Authorized official

Name

Kathy Langford, DO

Title

Practice Manager

Phone

(770) 389-9005

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Atlanta Knee and Shoulder, P.C. Other name

Tax ID family

Atlanta Knee and Shoulder Clinic PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Atlanta Knee and Shoulder Clinic PC

  • Non-Pharmacy Dispensing Site
  • Atlanta, GA
  • NPI 1831554765
  NPD tax ID

Locations

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531958400000",
    "number": "1477039741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 DOWNWOOD CIR NW STE 410",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303271624",
            "telephone_number": "404-352-4779",
            "fax_number": "404-351-0551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 DOWNWOOD CIR NW STE 410",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30327",
            "telephone_number": "404-352-4779",
            "fax_number": "404-351-0551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA KNEE AND SHOULDER CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-19",
        "last_updated": "2018-07-19",
        "status": "A",
        "authorized_official_last_name": "LANGFORD",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "770-389-9005",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA MEDICAL LICENSE",
            "identifier": "033254",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlanta Knee and Shoulder, P.C.",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Atlanta Knee and Shoulder, P.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Orthopaedic Surgery Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Orthopaedic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.

Verify at the official NPI Registry.