Organization Active NPI

Medical Services of Southern Georgia, Inc.

  • Family Medicine Physician
  • Atlanta, GA
National Provider Identifier
1487800199
Registry record updated Oct 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEDICAL SERVICES OF SOUTHERN GEORGIA, INC.
Practice address
3522 Asford Dunwoody Road Suite #407
Atlanta, GA 30319-4207
Phone
(678) 598-5519
NPI assigned
Aug 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2008

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

Authorized official

Name
Mr. Raul Garcia
Title
President
Phone
(678) 598-5519

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

3522 Asford Dunwoody Road Suite #407
Atlanta, GA 30319-4207

Mailing address

3522 Asford Dunwoody Road Suite #407
Atlanta, GA 30319-4207
Phone (678) 598-5519

National Provider Directory

National Provider Directory

Locations

3522 Ashford Dunwoody Rd NE
Ste 407
Brookhaven, GA 30319
Phone (678) 598-5519

NPI Registry JSON

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1487800199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3522 ASFORD DUNWOODY ROAD SUITE #407",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303194207",
            "telephone_number": "678-598-5519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3522 ASFORD DUNWOODY ROAD SUITE #407",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303194207",
            "telephone_number": "678-598-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SERVICES OF SOUTHERN GEORGIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-13",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-598-5519",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "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 Oct 17, 2008; 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.