Organization Active NPI

Blood & Marrow Transplant Group of Georgia

  • Specialist
  • Atlanta, GA
National Provider Identifier
1700809159
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
BLOOD & MARROW TRANSPLANT GROUP OF GEORGIA
Practice address
5670 Peachtree Dunwoody Rd NE
Suite 1000
Atlanta, GA 30342-1699
Phone
(404) 255-1930
Fax
(404) 459-8510
NPI assigned
Jul 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Authorized official

Name
Robin Cullen
Title
Business Office Manager
Phone
(404) 255-1930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

5670 Peachtree Dunwoody Rd NE
Suite 1000
Atlanta, GA 30342-1699

Mailing address

5670 Peachtree Dunwoody Rd NE
Suite 1000
Atlanta, GA 30342-1699
Phone (404) 255-1930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040416000377 GA Part B Supplier - Clinic/Group Practice 0840285102 Receives reassigned benefits from 14 practitioners
Practice locations: Atlanta, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D1020012Blood and Marrow Transplant Group of Georgia5670 Peachtree Dunwoody Road, Suite 1075 a, Atlanta, GA 30342ComplianceFeb 16, 2028

National Provider Directory

National Provider Directory

Locations

5670 Peachtree Dunwoody
#6145
Sandy Springs, GA 30342

5670 Peachtree Dunwoody Rd
Ste 1000
Sandy Springs, GA 30342
Phone (404) 255-1930

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1700809159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5670 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE 1000",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421699",
            "telephone_number": "404-255-1930",
            "fax_number": "404-459-8510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5670 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE 1000",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421699",
            "telephone_number": "404-255-1930",
            "fax_number": "404-459-8510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOD & MARROW TRANSPLANT GROUP OF GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "CULLEN",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "404-255-1930"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "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 Mar 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.