Organization Active NPI

Nursing Home Laboratory Service

  • Obesity Medicine (Family Medicine) Physician
  • Atlanta, GA
National Provider Identifier
1669704532
Registry record updated Feb 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obesity Medicine (Family Medicine) PhysicianTaxonomy code 207QB0002X
License
031032 Issued in GA
Legal business name
NURSING HOME LABORATORY SERVICE
Practice address
1875 New Hope Rd SW
Atlanta, GA 30331
Phone
(404) 552-3690
Fax
(404) 344-6991
NPI assigned
Feb 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2010

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

Authorized official

Name
Vickie Ann James, M.D.
Title
Ceo/Owner
Phone
(404) 552-3690

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obesity Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QB0002X 031032 GA Primary

Addresses

Primary practice location

1875 New Hope Rd SW
Atlanta, GA 30331

Mailing address

1875 New Hope Rd SW
Atlanta, GA 30331
Phone (404) 552-3690

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265155200000",
    "number": "1669704532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 NEW HOPE RD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30331",
            "telephone_number": "404-552-3690",
            "fax_number": "404-344-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 NEW HOPE RD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30331",
            "telephone_number": "404-552-3690",
            "fax_number": "404-344-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSING HOME LABORATORY SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-03",
        "last_updated": "2010-02-03",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "VICKIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "404-552-3690",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QB0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Obesity Medicine",
            "state": "GA",
            "license": "031032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2010; 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.