NPIMap

Organization Active NPI

Atlanta Complete Care MD LLC

  • Family Medicine Physician
  • Atlanta, GA
National Provider Identifier
1477052835
Registry record updated Mar 19, 2018
On this page

Key facts

NPPES NPI Registry
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
Last updated
Mar 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2018

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

Authorized official

Name
Dr. Roberto Anibal Vargas, MDNPI 1760534887
Title
Owner
Phone
(404) 575-1300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CHIR007618 GA
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X FD3356575 GA Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT010743 GA
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X RN213563 GA

Addresses

Primary practice location

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

Mailing address

1720 Peachtree St NW Ste 140
Atlanta, GA 30309-2439
Phone (404) 575-1300

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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": []
}

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 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.