Atlanta Complete Care MD LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

FD3356575 Issued in GA

Legal business name

ATLANTA COMPLETE CARE MD LLC

Practice address

1720 Peachtree St NW Ste 140
Atlanta, GA 30309-2439

Phone

(404) 575-1300

Fax

(404) 575-1301

NPI assigned

Feb 12, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Roberto Anibal Vargas, MD

Title

Owner

Phone

(404) 575-1300

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gustavo Andre Perez Caballero, BS, DC, GTS

  • Rehabilitation Chiropractor
  • Conyers, GA
  • NPI 1902572118
  NPD (past)

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521417600000",
    "number": "1477052835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 PEACHTREE ST NW STE 140",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092439",
            "telephone_number": "404-575-1300",
            "fax_number": "404-575-1301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 PEACHTREE ST NW STE 140",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092439",
            "telephone_number": "404-575-1300",
            "fax_number": "404-575-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA COMPLETE CARE MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-03-19",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "ROBERTO",
        "authorized_official_middle_name": "ANIBAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-575-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR007618",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "FD3356575",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT010743",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN213563",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Atlanta Chiropractic and Rehab LLC
• Atlanta Clinical Care PC
• Atlanta Clinical Research Centers LLC
• Atlanta Colon and Rectal Surgery, PA
• Atlanta Commuters
• Atlanta Consulting and Psychological Services, LLC
• Atlanta Cosmetic Anesthesia, LLC
• Atlanta Cosmetic Urology LLC
• Atlanta Counseling and Wellness, LLC
• Atlanta Counseling Center

• Family Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Family Medicine Physician in Georgia

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