Organization Active NPI

Arthritis Research & Treatment Center

  • Rheumatology Physician
  • Stockbridge, GA
National Provider Identifier
1497836456
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
045463 Issued in GA
Legal business name
ARTHRITIS RESEARCH & TREATMENT CENTER
Practice address
1101 Hospital Dr
Suite 200
Stockbridge, GA 30281-9075
Phone
(678) 289-5488
Fax
(678) 289-5489
NPI assigned
Oct 18, 2006
Last updated
Jun 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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

Authorized official

Name
Maria Fondal, MD
Title
President
Phone
(678) 289-5488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 045463 GA Primary

Addresses

Primary practice location

1101 Hospital Dr
Suite 200
Stockbridge, GA 30281-9075

Mailing address

1101 Hospital Drive
Suite 200
Stockbridge, GA 30281-9075
Phone (678) 289-5488

Other identifiers 2

IdentifierTypeStateIssuer
000790732BMedicaidGA
849274OtherGABCBSGA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1497836456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 HOSPITAL DRIVE",
            "address_2": "SUITE 200",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819075",
            "telephone_number": "678-289-5488",
            "fax_number": "678-289-5489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 HOSPITAL DR",
            "address_2": "SUITE 200",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819075",
            "telephone_number": "678-289-5488",
            "fax_number": "678-289-5489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARTHRITIS RESEARCH & TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "FONDAL",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-289-5488",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "GA",
            "license": "045463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000790732B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSGA",
            "identifier": "849274",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; 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.