Athens Rheumatology Clinic, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

69027 Issued in GA

Legal business name

ATHENS RHEUMATOLOGY CLINIC, LLC

Practice address

190 Hawthorne Park Ste a
Athens, GA 30606-2178

Phone

(706) 850-8322

Fax

(706) 850-8366

NPI assigned

Jan 15, 2014

Organization subpart

No

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

Authorized official

Name

Sana Makhdumi, M.D.

Title

President

Phone

(706) 850-8322

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389744000000",
    "number": "1619399367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 HAWTHORNE PARK STE A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062178",
            "telephone_number": "706-850-8322",
            "fax_number": "706-850-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 HAWTHORNE PARK STE A",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306062178",
            "telephone_number": "706-850-8322",
            "fax_number": "706-850-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENS RHEUMATOLOGY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-15",
        "last_updated": "2014-01-15",
        "status": "A",
        "authorized_official_last_name": "MAKHDUMI",
        "authorized_official_first_name": "SANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-850-8322",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "GA",
            "license": "69027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Athens, GA
• Medical Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; 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.