Organization Active NPI

Emory Johns Creek Cardiac Diagnostics

  • Ambulatory Surgical Clinic/Center
  • Johns Creek, GA
National Provider Identifier
1609023761
Registry record updated Aug 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
0800003824 Issued in GA
Legal business name
EMORY JOHNS CREEK CARDIAC DIAGNOSTICS
Practice address
10700 Medlock Bridge Rd
Suite 101
Johns Creek, GA 30097-8456
Phone
(678) 957-9935
Fax
(678) 957-9954
NPI assigned
Aug 20, 2008
Last updated
Aug 21, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
EHCA JOHNS CREEK HOLDINGS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 21, 2008

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

Authorized official

Name
Kathi Langlois, RN
Title
Director
Phone
(678) 957-9935

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 0800003824 GA Primary

Addresses

Primary practice location

10700 Medlock Bridge Rd
Suite 101
Johns Creek, GA 30097-8456

Mailing address

10700 Medlock Bridge Rd
Suite 101
Johns Creek, GA 30097-8456
Phone (678) 957-9935

Other identifiers 1

IdentifierTypeStateIssuer
511G470017OtherGAMEDICARE BILLING NUMBER

National Provider Directory

National Provider Directory
Part of
Ehca Johns Creek LLC

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219276800000",
    "number": "1609023761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 MEDLOCK BRIDGE RD",
            "address_2": "SUITE 101",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300978456",
            "telephone_number": "678-957-9935",
            "fax_number": "678-957-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 MEDLOCK BRIDGE RD",
            "address_2": "SUITE 101",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300978456",
            "telephone_number": "678-957-9935",
            "fax_number": "678-957-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMORY JOHNS CREEK CARDIAC DIAGNOSTICS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EHCA JOHNS CREEK HOLDINGS LLC",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-08-21",
        "status": "A",
        "authorized_official_last_name": "LANGLOIS",
        "authorized_official_first_name": "KATHI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "678-957-9935",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "GA",
            "license": "0800003824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE BILLING NUMBER",
            "identifier": "511G470017",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2008; 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.