Georgia Rheumatology Clinic PC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

73311 Issued in GA

Legal business name

GEORGIA RHEUMATOLOGY CLINIC PC

Practice address

145 Greencastle Rd
Tyrone, GA 30290-2937

Phone

(678) 889-7900

Fax

(770) 683-3349

NPI assigned

Oct 12, 2017

Last updated

Dec 23, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Atul Khasnis, MDNPI 1639292931

Title

Director

Phone

(517) 648-3321

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

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.

• Atul Khasnis, M.D.

  • Rheumatology Physician
  • Tyrone, GA
  • NPI 1639292931
  Medicare reassignment Care Compare group NPD Authorized official
• Nicole Denise Knight, NP-C

  • Family Nurse Practitioner
  • Columbus, GA
  • NPI 1346778966
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1649781964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 BEAVER RUN",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 GREENCASTLE RD",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302902937",
            "telephone_number": "678-889-7900",
            "fax_number": "770-683-3349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA RHEUMATOLOGY CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-12",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "KHASNIS",
        "authorized_official_first_name": "ATUL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "517-648-3321",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "GA",
            "license": "73311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jana Gills
• Debra J Gray
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• Gray's Autism Center LLC
• Greencastle Dental

• Rheumatology Physician in Tyrone, GA
• Providers in Tyrone, GA by specialty
• Rheumatology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.