Active NPI
Personal Injury MD LLC
- Specialist
- Marietta, GA
National Provider Identifier
1649646779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- PERSONAL INJURY MD LLC
- Practice address
- 2483 Powder Springs Rd SW
Ste B
Marietta, GA 30064-4573 - Phone
- (770) 769-2346
- Fax
- (678) 903-6951
- NPI assigned
- Aug 12, 2015
- Last updated
- Aug 12, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Lionel Terry Johnson
- Title
- Founder / Owner
- Phone
- (770) 769-2346
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
2483 Powder Springs Rd SW
Ste B
Marietta, GA 30064-4573
Mailing address
2483 Powder Springs Rd SW
Ste B
Marietta, GA 30064-4573
Phone (770) 769-2346
National Provider Directory
National Provider DirectoryLocations
2483 Powder Springs Rd SW
Ste B
Marietta, GA 30064
Phone (770) 439-7575
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1439337600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1439337600000",
"number": "1649646779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2483 POWDER SPRINGS RD SW",
"address_2": "STE B",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300644573",
"telephone_number": "770-769-2346",
"fax_number": "678-903-6951"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2483 POWDER SPRINGS RD SW",
"address_2": "STE B",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300644573",
"telephone_number": "770-769-2346",
"fax_number": "678-903-6951"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PERSONAL INJURY MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-12",
"last_updated": "2015-08-12",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "LIONEL",
"authorized_official_middle_name": "TERRY",
"authorized_official_title_or_position": "FOUNDER / OWNER",
"authorized_official_telephone_number": "770-769-2346",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
- Demesha S Perry, PHARM.D.
- John Theodore Perry III, M.D.
- Kayla Perry, RDN, LD
- Samantha Nikole Perry
- Jessica Persaud, RBT
- Personal Recovery Network LLC (The Anxiety & Stress Management Institute)
- Personal Recovery Network LLC (Georgia Behavioral Health Professionals)
- Peterman and Associates, LLC (Peterman & Associates ICWS)
- Chanya M Peters, APRN-BC
- Erica Peters, COTA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.