NPIMap

Organization Active NPI

Grady Health Systems

  • Primary Care Clinic/Center
  • Atlanta, GA
National Provider Identifier
1689779753
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
54695 Issued in GA
Legal business name
GRADY HEALTH SYSTEMS
Practice address
49 Jesse Hill Jr Dr SE
Fob, Division of General Medicine
Atlanta, GA 30303-3049
Phone
(404) 686-1606
NPI assigned
Sep 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Ursula P. Whalen, MD
Title
Clinical Instructor
Phone
(404) 686-1606

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 54695 GA
Primary Care Clinic/Center 261QP2300X 54695 GA Primary
Urgent Care Clinic/Center 261QU0200X 54695 GA
General Acute Care Hospital 282N00000X 54695 GA

Addresses

Primary practice location

49 Jesse Hill Jr Dr SE
Fob, Division of General Medicine
Atlanta, GA 30303-3049

Mailing address

1557 Anita PL NE
Atlanta, GA 30306-2201

Other identifiers 1

IdentifierTypeStateIssuer
54695OtherGAMEDICAL LICENSE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1689779753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1557 ANITA PL NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303062201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 JESSE HILL JR DR SE",
            "address_2": "FOB, DIVISION OF GENERAL MEDICINE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033049",
            "telephone_number": "404-686-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRADY HEALTH SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-14",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "WHALEN",
        "authorized_official_first_name": "URSULA",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "CLINICAL INSTRUCTOR",
        "authorized_official_telephone_number": "404-686-1606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "GA",
            "license": "54695",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "54695",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "GA",
            "license": "54695",
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "GA",
            "license": "54695",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "54695",
            "state": "GA"
        }
    ],
    "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 Mar 7, 2023; 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.