Active NPI
Dream Breast Care Center LLC
- Surgery Physician
- Atlanta, GA
National Provider Identifier
1477212223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- DREAM BREAST CARE CENTER LLC
- Practice address
- 2275 Marietta Blvd NW Ste 270-317
Atlanta, GA 30318-2004 - Phone
- (404) 519-4578
- NPI assigned
- Dec 9, 2021
- 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
- Dr. Ryland J Gore, MD
- Title
- Owner
- Phone
- (404) 519-4578
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
2275 Marietta Blvd NW Ste 270-317
Atlanta, GA 30318-2004
Mailing address
2275 Marietta Blvd NW Ste 270-317
Atlanta, GA 30318-2004
National Provider Directory
National Provider DirectoryLocations
371 E Paces Ferry Rd NE
Ste 600
Atlanta, GA 30305
2275 Marietta Blvd NW
Ste 270317
Atlanta, GA 30318
Phone (404) 519-4578
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/HDFEDD
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Memphis, TN
- NPI 1992090401
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639008000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639008000000",
"number": "1477212223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2275 MARIETTA BLVD NW STE 270-317",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303182004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2275 MARIETTA BLVD NW STE 270-317",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303182004",
"telephone_number": "404-519-4578"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DREAM BREAST CARE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-12-09",
"last_updated": "2021-12-09",
"certification_date": "2021-12-09",
"status": "A",
"authorized_official_last_name": "GORE",
"authorized_official_first_name": "RYLAND",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-519-4578",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"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 Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.