NPIMap

Organization Active NPI

Emory Healthcare

  • Nursing Facility/Intermediate Care Facility
  • Atlanta, GA
National Provider Identifier
1578834008
Registry record updated Jan 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
RN177619 Issued in GA
Legal business name
EMORY HEALTHCARE
Practice address
1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone
(404) 686-5500
Fax
(404) 778-4431
NPI assigned
Jan 13, 2012
Last updated
Jan 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2012

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

Authorized official

Name
Ms. Cicely A Ross, RRT/BSN, P-S
Title
Technical Director, Internal Medici
Phone
(404) 219-4122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X RN177619 GA Primary

Addresses

Primary practice location

1365 Clifton Rd NE
Atlanta, GA 30322-1013

Mailing address

1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 686-5500

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326412800000",
    "number": "1578834008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 CLIFTON RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221013",
            "telephone_number": "404-686-5500",
            "fax_number": "404-778-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 CLIFTON RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303221013",
            "telephone_number": "404-686-5500",
            "fax_number": "404-778-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMORY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-01-13",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "CICELY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "TECHNICAL DIRECTOR, INTERNAL MEDICI",
        "authorized_official_telephone_number": "404-219-4122",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RRT/BSN, P-S"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "GA",
            "license": "RN177619",
            "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 Jan 13, 2012; 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.