NPIMap

Organization Active NPI

Clinica Medica Prenatal Inc

  • Primary Care Clinic/Center
  • Atlanta, GA
National Provider Identifier
1689017170
Registry record updated Apr 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
00227204 Issued in GA
Legal business name
CLINICA MEDICA PRENATAL INC
Practice address
4300 Buford Hwy NE
Suite: 216
Atlanta, GA 30345-1003
Phone
(404) 636-8282
Fax
(404) 636-8286
NPI assigned
Apr 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2013

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

Authorized official

Name
Esmerardo Cruz Morales, FNP, NP-CNPI 1689019044
Title
Owner/Provider
Phone
(678) 521-1624

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
Primary Care Clinic/Center 261QP2300X 00227204 GA Primary

Addresses

Primary practice location

4300 Buford Hwy NE
Suite: 216
Atlanta, GA 30345-1003

Mailing address

4300 Buford Hwy NE
Suite: 216
Atlanta, GA 30345-1003
Phone (404) 636-8282

National Provider Directory

National Provider Directory

Locations

4300 Buford Hwy NE
Ste 216
Atlanta, GA 30345
Phone (404) 636-8282

Practitioners & affiliated clinicians

Practitioners 1

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": "1365984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365984000000",
    "number": "1689017170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 BUFORD HWY NE",
            "address_2": "SUITE: 216",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303451003",
            "telephone_number": "404-636-8282",
            "fax_number": "404-636-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 BUFORD HWY NE",
            "address_2": "SUITE: 216",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303451003",
            "telephone_number": "404-636-8282",
            "fax_number": "404-636-8286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA MEDICA PRENATAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-15",
        "last_updated": "2013-04-15",
        "status": "A",
        "authorized_official_last_name": "CRUZ MORALES",
        "authorized_official_first_name": "ESMERARDO",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "678-521-1624",
        "authorized_official_credential": "FNP, NP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "00227204",
            "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 Apr 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.