Gates Rapid Diagnostic Laboratory of Atlanta

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

038767 Issued in GA

Legal business name

GATES RAPID DIAGNOSTIC LABORATORY OF ATLANTA

Practice address

777 Cleveland Ave SW
Suite 100
Atlanta, GA 30315-7129

Phone

(404) 763-0093

NPI assigned

Feb 15, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Jackson L. Gates, M.D

Title

Owner

Phone

(678) 591-6509

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1297728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1710284435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1880 LANCASTER DRIVE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "30013",
            "telephone_number": "678-591-6509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 CLEVELAND AVE SW",
            "address_2": "SUITE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303157129",
            "telephone_number": "404-763-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATES RAPID DIAGNOSTIC LABORATORY OF ATLANTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-15",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "GATES",
        "authorized_official_first_name": "JACKSON",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-591-6509",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "GA",
            "license": "038767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanette Gaston, NP
• Lindsey Michelle Gaston, DO
• Gastro Consultants of Atlanta PC
• Gastroenterology Endoscopy Center
• Gastroenterology Medicine & Nutrition Clinic, PC
• Adam Whitney Gates, PHARMD
• Amanda Nicole Gates, BA
• Apryle Gates, LMSW
• Candace Marie Gates, MD
• Extriara Charlesh Gates, LCSW

• General Practice Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; 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.