Organization Active NPI

Digestive Healthcare PC

  • Specialist
  • Lithonia, GA
National Provider Identifier
1679640353
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
DIGESTIVE HEALTHCARE PC
Practice address
5900 Hillandale Dr Ste 330
Lithonia, GA 30058-3892
Phone
(770) 817-0224
Fax
(770) 817-0228
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Kwame Vikram Connell, M.D.NPI 1942278015
Title
Owner
Phone
(770) 817-0224

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

5900 Hillandale Dr Ste 330
Lithonia, GA 30058-3892

Mailing address

5900 Hillandale Dr Ste 330
Lithonia, GA 30058-3892
Phone (770) 817-0224

National Provider Directory

National Provider Directory

Locations

5900 Hillandale Dr
Ste 330
Lithonia, GA 30058
Phone (404) 297-7303

Practitioners & affiliated clinicians

Practitioners 3

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": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679640353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 HILLANDALE DR STE 330",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300583892",
            "telephone_number": "770-817-0224",
            "fax_number": "770-817-0228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 HILLANDALE DR STE 330",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300583892",
            "telephone_number": "770-817-0224",
            "fax_number": "770-817-0228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE HEALTHCARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONNELL",
        "authorized_official_first_name": "KWAME",
        "authorized_official_middle_name": "VIKRAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-817-0224",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithonia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.