Organization Active NPI

Atlanta Medical Day Spa

  • General Practice Physician
  • Atlanta, GA
National Provider Identifier
1609146547
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
052052 Issued in GA
Legal business name
ATLANTA MEDICAL DAY SPA
Practice address
3275 Peachtree Road
Suite 250
Atlanta, GA 30305
Phone
(678) 213-2220
Fax
(678) 235-2223
NPI assigned
Jan 10, 2012
Last updated
Oct 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

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

Authorized official

Name
Debra J Atkins, M.D.NPI 1790791465
Title
Owner
Phone
(678) 213-2220

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
General Practice Physician 208D00000X 052052 GA Primary

Addresses

Primary practice location

3275 Peachtree Road
Suite 250
Atlanta, GA 30305

Mailing address

1232 Johnson Ferry Rd
Marietta, GA 30068-2776
Phone (678) 213-2220

National Provider Directory

National Provider Directory

Locations

3275 Peachtree Rd NE
Ste 250
Atlanta, GA 30305
Phone (678) 213-2220

1232 Johnson Ferry Rd
Marietta, GA 30068
Phone (678) 213-2220

Practitioners & affiliated clinicians

Practitioners 2

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": "1326153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1609146547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1232 JOHNSON FERRY RD",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682776",
            "telephone_number": "678-213-2220",
            "fax_number": "678-213-3331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3275 PEACHTREE ROAD",
            "address_2": "SUITE 250",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30305",
            "telephone_number": "678-213-2220",
            "fax_number": "678-235-2223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA MEDICAL DAY SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-10",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "ATKINS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-213-2220",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "052052",
            "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 Oct 18, 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.