NPIMap

Organization Active NPI

Georgetown Clinic

  • General Practice Physician
  • Atlanta, GA
National Provider Identifier
1558630947
Registry record updated Dec 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
38981 Issued in GA
Legal business name
GEORGETOWN CLINIC
Practice address
236 Johnson Ferry Rd NE
Suite 200
Atlanta, GA 30328-7402
Phone
(404) 255-0666
Fax
(404) 705-9942
NPI assigned
Dec 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2011

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

Authorized official

Name
Ramin Stephan Bayani, D.C.
Title
President
Phone
(404) 255-0666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 38981 GA Primary

Addresses

Primary practice location

236 Johnson Ferry Rd NE
Suite 200
Atlanta, GA 30328-7402

Mailing address

236 Johnson Ferry Rd NE
Suite 200
Atlanta, GA 30328-7402
Phone (404) 255-0666

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1323820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324598400000",
    "number": "1558630947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 JOHNSON FERRY RD NE",
            "address_2": "SUITE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303287402",
            "telephone_number": "404-255-0666",
            "fax_number": "404-705-9942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 JOHNSON FERRY RD NE",
            "address_2": "SUITE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303287402",
            "telephone_number": "404-255-0666",
            "fax_number": "404-705-9942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGETOWN CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-14",
        "last_updated": "2011-12-23",
        "status": "A",
        "authorized_official_last_name": "BAYANI",
        "authorized_official_first_name": "RAMIN",
        "authorized_official_middle_name": "STEPHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-255-0666",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "GA",
            "license": "38981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.