NPIMap

Organization Active NPI

Downtown Atlanta Medical Center, P.C.

  • Pain Medicine (Anesthesiology) Physician
  • Atlanta, GA
National Provider Identifier
1639459407
Registry record updated Aug 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
23771 Issued in GA
Legal business name
DOWNTOWN ATLANTA MEDICAL CENTER, P.C.
Practice address
610 Northside Dr NW
Ste. B
Atlanta, GA 30318-6927
Phone
(404) 419-2050
NPI assigned
Aug 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2011

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

Authorized official

Name
Dr. Frederick D. Moser, M.D.
Title
President
Phone
(404) 419-2050

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X 23771 GA Primary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X 23771 GA
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X 23771 GA
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X 23771 GA

Addresses

Primary practice location

610 Northside Dr NW
Ste. B
Atlanta, GA 30318-6927

Mailing address

610 Northside Dr NW
Ste. B
Atlanta, GA 30318-6927
Phone (404) 419-2050

National Provider Directory

National Provider Directory

Locations

610 Northside Dr NW
Ste B
Atlanta, GA 30318
Phone (404) 419-2050

NPI Registry JSON

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314144000000",
    "number": "1639459407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 NORTHSIDE DR NW",
            "address_2": "STE. B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303186927",
            "telephone_number": "404-419-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 NORTHSIDE DR NW",
            "address_2": "STE. B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303186927",
            "telephone_number": "404-419-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNTOWN ATLANTA MEDICAL CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-24",
        "last_updated": "2011-08-24",
        "status": "A",
        "authorized_official_last_name": "MOSER",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-419-2050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": "23771",
            "primary": true
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "GA",
            "license": "23771",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "GA",
            "license": "23771",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "23771",
            "primary": false
        }
    ],
    "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 Aug 24, 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.