Organization Active NPI

Georgia North Fulton Healthcare Associates, LLC

  • Family Medicine Physician
  • Roswell, GA
National Provider Identifier
1659664720
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
GEORGIA NORTH FULTON HEALTHCARE ASSOCIATES, LLC
Practice address
2500 Hospital Blvd
Ste 340
Roswell, GA 30076-4977
Phone
(770) 740-1753
Fax
(770) 740-8503
NPI assigned
May 24, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Authorized official

Name
Mr. Wesley O. James
Title
Regional Cfo, Tenet
Phone
(404) 265-5009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

2500 Hospital Blvd
Ste 340
Roswell, GA 30076-4977

Mailing address

PO Box 741784
Atlanta, GA 30374-1784
Phone (770) 740-1753

Other names 1

  • North Fulton Healthcare Associates Doing business as

National Provider Directory

National Provider Directory

Locations

9212 Nesbit Ferry Rd
Alpharetta, GA 30022
Phone (770) 609-6067

400 Marietta Hwy
Roswell, GA 30075
Phone (770) 650-0555

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1659664720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741784",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303741784",
            "telephone_number": "770-740-1753",
            "fax_number": "770-740-8503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HOSPITAL BLVD",
            "address_2": "STE 340",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764977",
            "telephone_number": "770-740-1753",
            "fax_number": "770-740-8503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA NORTH FULTON HEALTHCARE ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-24",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "WESLEY",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "REGIONAL CFO, TENET",
        "authorized_official_telephone_number": "404-265-5009",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Fulton Healthcare Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.