Clinical Support Services,Inc

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

CLINICAL SUPPORT SERVICES,INC

Practice address

1900 The Exchange SE
Ste 390
Atlanta, GA 30339-2022

Phone

(770) 916-1848

Fax

(770) 988-8958

NPI assigned

Oct 10, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Marion Maxwell Fitzgerald

Title

President

Phone

(770) 916-1848

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699863472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 THE EXCHANGE SE",
            "address_2": "STE 390",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392022",
            "telephone_number": "770-916-1848",
            "fax_number": "770-988-8958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 THE EXCHANGE SE",
            "address_2": "STE 390",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392022",
            "telephone_number": "770-916-1848",
            "fax_number": "770-988-8958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL SUPPORT SERVICES,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FITZGERALD",
        "authorized_official_first_name": "MARION",
        "authorized_official_middle_name": "MAXWELL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-916-1848",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00559072A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clinica Union, Inc
• Clinical & Consulting Services of Atlanta
• Clinical Disgnostics Labs
• Clinical Neuro DX, LLC
• Clinical Patient Services, LLC
• Clinical Support Systems, LLC
• Clinicare Screening Solutions LLC
• Courtney Clinkscales, PAA
• Clinlgx LLC
• Norma Cloe

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

• 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.