NPIMap

Organization Active NPI

Victor G. Polizos MD PC

  • Pediatric Adolescent Medicine Physician
  • Atlanta, GA
National Provider Identifier
1689901597
Registry record updated Nov 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
022956 Issued in GA
Legal business name
VICTOR G. POLIZOS MD PC
Practice address
427 Moreland Ave NE Ste 400
Atlanta, GA 30307-1500
Phone
(404) 521-2445
Fax
(404) 521-0067
NPI assigned
Nov 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2009

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

Authorized official

Name
Dr. Victor PolizosNPI 1528047792
Title
Owner
Phone
(404) 521-2445

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
Pediatric Adolescent Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2080A0000X 022956 GA Primary

Addresses

Primary practice location

427 Moreland Ave NE Ste 400
Atlanta, GA 30307-1500

Mailing address

427 Moreland Ave NE Ste 400
Atlanta, GA 30307-1500
Phone (404) 521-2445

National Provider Directory

National Provider Directory

Locations

427 Moreland Ave NE
Ste 400
Atlanta, GA 30307
Phone (404) 521-2445

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1258070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258070400000",
    "number": "1689901597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 MORELAND AVE NE STE 400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303071500",
            "telephone_number": "404-521-2445",
            "fax_number": "404-521-0067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 MORELAND AVE NE STE 400",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303071500",
            "telephone_number": "404-521-2445",
            "fax_number": "404-521-0067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTOR G. POLIZOS MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-13",
        "last_updated": "2009-11-13",
        "status": "A",
        "authorized_official_last_name": "POLIZOS",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-521-2445",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "GA",
            "license": "022956",
            "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 Nov 13, 2009; 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.