Organization Active NPI

Atlanta Id Group, P.C.

  • Pharmacy
  • Fayetteville, GA
National Provider Identifier
1548767619
Registry record updated Apr 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
PHRE009501 Issued in GA
Legal business name
ATLANTA ID GROUP, P.C.
Practice address
1265 Highway 54 West
Suite 500-C
Fayetteville, GA 30214
Phone
(678) 435-3040
Fax
(678) 435-3044
NPI assigned
Apr 6, 2018
Last updated
Apr 6, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
ATLANTA ID GROUP, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 6, 2018

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

Authorized official

Name
Dr. Christine A Zurawski, MDNPI 1447365762
Title
Ceo/President
Phone
(404) 351-8873

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacy 333600000X PHRE009501 GA Primary

Addresses

Primary practice location

1265 Highway 54 West
Suite 500-C
Fayetteville, GA 30214

Mailing address

275 Collier Rd
Suite450
Atlanta, GA 30309
Phone (404) 351-8871

Other names 1

  • Infectious Disease Solutions Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Atlanta Id Group PC3 organizations share this tax ID, including this one
Part of
Atlanta Id Group PC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1265 Highway 54 W
Ste 500C
Fayetteville, GA 30214
Phone (678) 435-3040

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522972800000",
    "number": "1548767619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 COLLIER RD",
            "address_2": "SUITE450",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30309",
            "telephone_number": "404-351-8871",
            "fax_number": "404-355-1353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 HIGHWAY 54 WEST",
            "address_2": "SUITE 500-C",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "30214",
            "telephone_number": "678-435-3040",
            "fax_number": "678-435-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA ID GROUP, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTA ID GROUP, P.C.",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-04-06",
        "status": "A",
        "authorized_official_last_name": "ZURAWSKI",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "404-351-8873",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "GA",
            "license": "PHRE009501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Infectious Disease Solutions",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Infectious Disease Solutions",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; 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.