Organization Active NPI

Marrc Medical Group

  • General Practice Physician
  • Buford, GA
National Provider Identifier
1497137194
Registry record updated Jun 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
067383 Issued in GA
Legal business name
MARRC MEDICAL GROUP
Practice address
2952 Heart Pine Way
Buford, GA 30519-7639
Phone
(402) 290-8700
NPI assigned
Jun 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2015

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

Authorized official

Name
Rasheed O Amao, MD
Title
President
Phone
(402) 290-8700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 067383 GA Primary

Addresses

Primary practice location

2952 Heart Pine Way
Buford, GA 30519-7639

Mailing address

2952 Heart Pine Way
Buford, GA 30519-7639
Phone (402) 290-8700

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1497137194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2952 HEART PINE WAY",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305197639",
            "telephone_number": "402-290-8700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2952 HEART PINE WAY",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305197639",
            "telephone_number": "402-290-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARRC MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "AMAO",
        "authorized_official_first_name": "RASHEED",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "402-290-8700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "GA",
            "license": "067383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.