Organization Active NPI

Atlantic Medical Group

  • Specialist
  • Augusta, GA
National Provider Identifier
1720375728
Registry record updated Jun 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
018190 Issued in GA
Legal business name
ATLANTIC MEDICAL GROUP
Practice address
1518 Monte Sano Ave
Augusta, GA 30904-5323
Phone
(706) 504-4323
Fax
(706) 504-4325
NPI assigned
Jun 29, 2011
Last updated
Jun 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2011

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

Authorized official

Name
Mrs. Natalie Suhanov
Title
Owner
Phone
(706) 504-4323

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 018190 GA Primary

Addresses

Primary practice location

1518 Monte Sano Ave
Augusta, GA 30904-5323

Mailing address

1518 Monte Sano Ave
Augusta, GA 30904-5323
Phone (706) 504-4323

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1309305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309305600000",
    "number": "1720375728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1518 MONTE SANO AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309045323",
            "telephone_number": "706-504-4323",
            "fax_number": "706-504-4325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1518 MONTE SANO AVE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309045323",
            "telephone_number": "706-504-4323",
            "fax_number": "706-504-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTIC MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-29",
        "last_updated": "2011-06-29",
        "status": "A",
        "authorized_official_last_name": "SUHANOV",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-504-4323",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "018190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.