Active NPI
Prestigious Medical Center, Inc
- Family Medicine Physician
- Marietta, GA
National Provider Identifier
1669627329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PRESTIGIOUS MEDICAL CENTER, INC
- Practice address
- 1650 County Services Pkwy SW
Marietta, GA 30008-4010 - Phone
- (404) 207-6139
- NPI assigned
- Nov 22, 2008
- 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
- Dr. Africa McLeod Alvarez, M.D.
- Title
- President
- Phone
- (404) 207-6139
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Infectious Disease Physician | 207RI0200X |
Addresses
Primary practice location
1650 County Services Pkwy SW
Marietta, GA 30008-4010
Mailing address
PO Box 670355
Marietta, GA 30066-0123
Phone (404) 207-6139
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227312000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1227312000000",
"number": "1669627329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 670355",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300660123",
"telephone_number": "404-207-6139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 COUNTY SERVICES PKWY SW",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300084010",
"telephone_number": "404-207-6139"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRESTIGIOUS MEDICAL CENTER, INC",
"organizational_subpart": "NO",
"enumeration_date": "2008-11-22",
"last_updated": "2008-11-22",
"status": "A",
"authorized_official_last_name": "ALVAREZ",
"authorized_official_first_name": "AFRICA",
"authorized_official_middle_name": "MCLEOD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "404-207-6139",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RI0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.