Active NPI
South Fulton Regional Medical Center Pro Fee Billing, LLC
- Cardiovascular Disease Physician
- East Point, GA
National Provider Identifier
1558596288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- SOUTH FULTON REGIONAL MEDICAL CENTER PRO FEE BILLING, LLC
- Practice address
- 1170 Cleveland Ave
East Point, GA 30344-3615 - Phone
- (404) 466-1320
- Fax
- (404) 466-1360
- NPI assigned
- May 26, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Wesley O. James
- Title
- Regional Cfo, Tenet
- Phone
- (404) 265-5009
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
1170 Cleveland Ave
East Point, GA 30344-3615
Mailing address
680 Andersen Dr
Foster Plaza 10
Pittsburgh, PA 15220-2759
Phone (404) 466-1320
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1336140904
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243296000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1466640000000",
"number": "1558596288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "680 ANDERSEN DR",
"address_2": "FOSTER PLAZA 10",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152202759",
"telephone_number": "404-466-1320",
"fax_number": "404-466-1360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1170 CLEVELAND AVE",
"city": "EAST POINT",
"state": "GA",
"postal_code": "303443615",
"telephone_number": "404-466-1320",
"fax_number": "404-466-1360"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH FULTON REGIONAL MEDICAL CENTER PRO FEE BILLING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-26",
"last_updated": "2016-06-23",
"status": "A",
"authorized_official_last_name": "JAMES",
"authorized_official_first_name": "WESLEY",
"authorized_official_middle_name": "O.",
"authorized_official_title_or_position": "REGIONAL CFO, TENET",
"authorized_official_telephone_number": "404-265-5009",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Point, GA
- South Atlanta Pulmonary Group
- South Atlanta Spine and Wellness Center
- South Fulton Dermatology Associates,LLP
- South Fulton Medical Center Practice Plan, LLC
- South Fulton Primary Care, LLC
- South Mental Health
- Southcare Physicians Group Surgical Specialists, LLC
- Southern International Living, Inc
- Southside Associates OB/GYN, Inc
- Southside Medical Center, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.