NPIMap

Organization Active NPI

Morehouse Medical Associate

  • Primary Care Clinic/Center
  • East Point, GA
National Provider Identifier
1659401487
Registry record updated Mar 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
51 Issued in GA
Legal business name
MOREHOUSE MEDICAL ASSOCIATE
Practice address
1513 Cleveland Ave
500
East Point, GA 30344-6947
Phone
(404) 752-1000
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2018

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

Authorized official

Name
Jasmine S Bajnath
Title
Credentialing Manager
Phone
(404) 756-5752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 51 GA Primary

Addresses

Primary practice location

1513 Cleveland Ave
500
East Point, GA 30344-6947

Mailing address

720 Westview Dr SW Ste 100
Atlanta, GA 30310-1458
Phone (404) 756-5752

National Provider Directory

National Provider Directory
Tax ID family
James W Reed9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1513 Cleveland Ave
Bldg 500
East Point, GA 30344
Phone (404) 756-1204

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522195200000",
    "number": "1659401487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 WESTVIEW DR SW STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101458",
            "telephone_number": "404-756-5752",
            "fax_number": "404-756-5274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 CLEVELAND AVE",
            "address_2": "500",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303446947",
            "telephone_number": "404-752-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOREHOUSE MEDICAL ASSOCIATE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2018-03-28",
        "status": "A",
        "authorized_official_last_name": "BAJNATH",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "404-756-5752"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "51",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Point, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2018; 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.