Express Health Center Inc.

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

EXPRESS HEALTH CENTER INC.

Practice address

3149 E Shadowlawn Ave NE
Atlanta, GA 30305-2405

Phone

(404) 549-7021

Fax

(404) 549-7957

NPI assigned

May 15, 2013

Last updated

May 15, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Anthony B Licata II

Title

President

Phone

(954) 336-0409

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Mark Battista, M.D., M.P.H.

  • Clinic/Center
  • Atlanta, GA
  • NPI 1497908834
  NPD (past)

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368576000000",
    "number": "1679919831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3149 E SHADOWLAWN AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3149 E SHADOWLAWN AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052405",
            "telephone_number": "404-549-7021",
            "fax_number": "404-549-7957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPRESS HEALTH CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-15",
        "last_updated": "2013-05-15",
        "status": "A",
        "authorized_official_last_name": "LICATA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-336-0409",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Express at Northside LLC (Express Pharmacy)
• Express Food & Pharmacy Investment LLC (Express food and Pharmacy)
• Express Food & Pharmacy LLC (Express Food & Pharmacy)
• Express Food & Pharmacy LLC (Express Food & Pharmacy)
• Express GYN, P.C. (Express Gyn Care)
• Express Health Clinic
• Express Yourself Speech Pathology Services, LLC
• Express Yourself Speech Pathology Services, LLC
• Extended Hands of Georgia
• Britney Nicole Xiomara Extra, OTR/L

• Pain Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Pain Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; 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.