CHBW Medical &Rehab Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CHBW MEDICAL &REHAB CLINIC

Practice address

2636 Martin Luther King Jr Dr SW
Atlanta, GA 30311-1634

Phone

(770) 256-7033

Fax

(678) 705-3717

NPI assigned

Feb 4, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Beverly E Idris

Title

Partner

Phone

(770) 256-7033

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1296777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296777600000",
    "number": "1497051619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2636 MARTIN LUTHER KING JR DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303111634",
            "telephone_number": "770-256-7033",
            "fax_number": "678-705-3717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2636 MARTIN LUTHER KING JR DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303111634",
            "telephone_number": "770-256-7033",
            "fax_number": "678-705-3717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHBW MEDICAL &REHAB CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-04",
        "last_updated": "2011-02-04",
        "status": "A",
        "authorized_official_last_name": "IDRIS",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "770-256-7033",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Chavis, ATC
• Tina S. Chavis, FNP, PMHNP
• Shella Patel Chawda, N.P.
• Saurabh Chawla, M.D.
• Wesley Chay, M.D.
• Ngoc Nhi T Che
• Alvin E Cheatham, M.D.
• Shakeria Aramis Cheatham, BS, RBT
• Viktor D Cheban
• Craig M Chebuhar, M.D.

• All providers in Atlanta, GA
• Primary Care Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; 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.