NPIMap

Organization Active NPI

Smart Primary Care LLC

  • Primary Care Clinic/Center
  • Roswell, GA
National Provider Identifier
1669894622
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
66516 Issued in GA
Legal business name
SMART PRIMARY CARE LLC
Practice address
540 E Crossville Rd
Suite 211
Roswell, GA 30075-7661
Phone
(770) 510-1850
NPI assigned
Jan 10, 2014
Last updated
Jan 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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

Authorized official

Name
Dr. Kavita Kotte, M.D.
Title
Chief Medical Officer
Phone
(404) 808-7283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 66516 GA Primary

Addresses

Primary practice location

540 E Crossville Rd
Suite 211
Roswell, GA 30075-7661

Mailing address

4400 Peachtree Rd NE
Atlanta, GA 30319-2729
Phone (404) 808-7283

National Provider Directory

National Provider Directory

Locations

540 E Crossville Rd
Ste 211
Roswell, GA 30075
Phone (770) 510-1850

NPI Registry JSON

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390262400000",
    "number": "1669894622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 PEACHTREE RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303192729",
            "telephone_number": "404-808-7283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 E CROSSVILLE RD",
            "address_2": "SUITE 211",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300757661",
            "telephone_number": "770-510-1850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMART PRIMARY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-10",
        "last_updated": "2014-01-21",
        "status": "A",
        "authorized_official_last_name": "KOTTE",
        "authorized_official_first_name": "KAVITA",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "404-808-7283",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "66516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jan 21, 2014; 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.