NPIMap

Organization Active NPI

Ga Department of Human Resources

Doing business as Georgia Regional Hospital at Atlanta

  • Psychiatric Hospital
  • Decatur, GA
National Provider Identifier
1730122482
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
044-232 Issued in GA
Legal business name
GA DEPARTMENT OF HUMAN RESOURCES
Doing business as
Georgia Regional Hospital at Atlanta
Practice address
3073 Panthersville Road
Decatur, GA 30034-3828
Phone
(404) 243-2158
Fax
(404) 243-2159
NPI assigned
Jun 13, 2006
Last updated
May 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Authorized official

Name
Sonny Slate, COO
Title
Chief Operations Officer
Phone
(404) 243-2121

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 044-232 GA Primary

Addresses

Primary practice location

3073 Panthersville Road
Decatur, GA 30034-3828

Mailing address

P.O. Box 370407
Decatur, GA 30034-3828
Phone (404) 212-5454

Other identifiers 1

IdentifierTypeStateIssuer
00141061AMedicaidGA

Other names 1

  • Georgia Regional Hospital at Atlanta Doing business as

National Provider Directory

National Provider Directory
Tax ID family
NW Ga Regional Hospital74 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

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": "1150156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273622400000",
    "number": "1730122482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 370407",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300343828",
            "telephone_number": "404-212-5454",
            "fax_number": "404-243-2159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3073 PANTHERSVILLE ROAD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300343828",
            "telephone_number": "404-243-2158",
            "fax_number": "404-243-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GA DEPARTMENT OF HUMAN RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-13",
        "last_updated": "2010-05-12",
        "status": "A",
        "authorized_official_last_name": "SLATE",
        "authorized_official_first_name": "SONNY",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "404-243-2121",
        "authorized_official_credential": "COO"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "GA",
            "license": "044-232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00141061A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Georgia Regional Hospital at Atlanta",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.