Physician Specialists of Atlanta

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

PHYSICIAN SPECIALISTS OF ATLANTA

Practice address

100 Glenridge Point Pkwy NE
Ste 530
Atlanta, GA 30342-1442

Phone

(404) 531-9992

Fax

(404) 531-9901

NPI assigned

Dec 4, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Rebeca Rosh

Title

Owner

Phone

(404) 531-9992

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354579200000",
    "number": "1659616589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421876",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303428876",
            "telephone_number": "404-531-9992",
            "fax_number": "404-531-9901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 GLENRIDGE POINT PKWY NE",
            "address_2": "STE 530",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421442",
            "telephone_number": "404-531-9992",
            "fax_number": "404-531-9901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN SPECIALISTS OF ATLANTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-04",
        "last_updated": "2012-12-04",
        "status": "A",
        "authorized_official_last_name": "ROSH",
        "authorized_official_first_name": "REBECA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-531-9992",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phynova Mso, LLC
• Physical Therapy Inc
• Physicals & Health Matters Mobile
• Physician Pain Specialists, P.C.
• Physician Specialists in Anesthesia, P.C.
• Physician's Edge Medical Company
• Physician360, Inc
• Physicians Care Center of Atlanta
• Physicians Care Center of Atlanta
• Physicians Care Centers of Atlanta, LLC

• Specialist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.