Organization Active NPI

Alliant Wound Care

  • Family Medicine Physician
  • Roswell, GA
National Provider Identifier
1477974186
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ALLIANT WOUND CARE
Practice address
70 Mansell CT
Suite 100, PMB 18
Roswell, GA 30076-1523
Phone
(678) 278-9217
NPI assigned
Dec 23, 2013
Last updated
Feb 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

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

Authorized official

Name
Mrs. Stephanie Ortega
Title
Administrator
Phone
(786) 314-0924

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

70 Mansell CT
Suite 100, PMB 18
Roswell, GA 30076-1523

Mailing address

70 Mansell CT
Suite 100, PMB 18
Roswell, GA 30076-1523
Phone (678) 278-9217

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1387756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1477974186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 MANSELL CT",
            "address_2": "SUITE 100, PMB 18",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761523",
            "telephone_number": "678-278-9217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MANSELL CT",
            "address_2": "SUITE 100, PMB 18",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761523",
            "telephone_number": "678-278-9217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANT WOUND CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-23",
        "last_updated": "2014-02-27",
        "status": "A",
        "authorized_official_last_name": "ORTEGA",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "786-314-0924",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.