Organization Active NPI

Sandy Springs Family Medicine and Urgent Care

  • Multi-Specialty Clinic/Center
  • Sandy Springs, GA
National Provider Identifier
1639594757
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
License
67209 Issued in GA
Legal business name
SANDY SPRINGS FAMILY MEDICINE AND URGENT CARE
Practice address
8640 Roswell Rd
Sandy Springs, GA 30350
Phone
(770) 906-2396
NPI assigned
Feb 26, 2014
Last updated
Feb 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

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

Authorized official

Name
Beatris DragonuNPI 1487822425
Title
MD
Phone
(770) 676-7251

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X 67209 GA Primary

Addresses

Primary practice location

8640 Roswell Rd
Sandy Springs, GA 30350

Mailing address

516 Highland Park TRL
Sandy Springs, GA 30350-6701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140304001018 GA Part B Supplier - Clinic/Group Practice 8628208097 Receives reassigned benefits from 2 practitioners
Practice locations: Sandy Springs, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2078075Sandy Springs Family Medicine and Urgent Care8640 Roswell Rd, Sandy Springs, GA 30350Certificate of waiverMay 20, 2028

National Provider Directory

National Provider Directory

Locations

8640 Roswell Rd
Sandy Springs, GA 30350
Phone (770) 676-7251

Practitioners & affiliated clinicians

Practitioners 3

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": "1393372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393372800000",
    "number": "1639594757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 HIGHLAND PARK TRL",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303506701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8640 ROSWELL RD",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "30350",
            "telephone_number": "770-906-2396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDY SPRINGS FAMILY MEDICINE AND URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-26",
        "last_updated": "2014-02-26",
        "status": "A",
        "authorized_official_last_name": "DRAGONU",
        "authorized_official_first_name": "BEATRIS",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "770-676-7251"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "GA",
            "license": "67209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.