Active NPI
Ehca Dunwoody, LLC
- General Acute Care Hospital
- Atlanta, GA
National Provider Identifier
1730133786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- EHCA DUNWOODY, LLC
- Practice address
- 4575 N Shallowford Rd
Atlanta, GA 30338-6445 - Phone
- (770) 454-2000
- Fax
- (770) 454-4279
- NPI assigned
- May 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Susan Satterfield
- Title
- Cfo
- Phone
- (678) 421-7909
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Primary |
Addresses
Primary practice location
4575 N Shallowford Rd
Atlanta, GA 30338-6445
Mailing address
4575 N Shallowford Rd
Atlanta, GA 30338-6445
Phone (770) 454-2000
Other identifiers 21
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 158334500 | Other | DEPT OF LABOR | |
| 176309601 | Medicaid | TX | |
| 555485 | Medicaid | HI | |
| 16567755 | Medicaid | NY | |
| 3568 | Other | BLUE CROSS | |
| 762105 | Medicaid | AZ | |
| 00001669A | Medicaid | GA | |
| 010120811 | Medicaid | VA | |
| 1707031 | Medicaid | LA | |
| 2498560 | Medicaid | OH | |
| 7253 | Other | BLUE CARE | |
| 9067809 | Medicaid | NJ | |
| 110172 | Medicaid | RI | |
| 200377230A | Medicaid | IN | |
| 912086600 | Medicaid | FL | |
| EMO0172N | Medicaid | AL | |
| 0019093780002 | Medicaid | PA | |
| 0110172 | Medicaid | TN | |
| 10741A | Medicaid | SC | |
| XHSP33612 | Medicaid | CA | |
| 407052600 | Medicaid | MD |
Other names 1
- EMORY DUNWOODY MEDICAL CENTER
National Provider Directory
National Provider Directory- Tax ID family
- Emory Johns Creek Cardiac Diagnostics
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Acute Care Hospital
- Atlanta, GA
- NPI 1740234400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228435200000",
"number": "1730133786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4575 N SHALLOWFORD RD",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303386445",
"telephone_number": "770-454-2000",
"fax_number": "770-454-4279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4575 N SHALLOWFORD RD",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303386445",
"telephone_number": "770-454-2000",
"fax_number": "770-454-4279"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EHCA DUNWOODY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-22",
"last_updated": "2008-12-05",
"status": "A",
"authorized_official_last_name": "SATTERFIELD",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "678-421-7909"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DEPT OF LABOR",
"identifier": "158334500",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "176309601",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "555485",
"state": "HI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "16567755",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "3568",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "762105",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00001669A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010120811",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1707031",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2498560",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CARE",
"identifier": "7253",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9067809",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110172",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200377230A",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "912086600",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "EMO0172N",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019093780002",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0110172",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10741A",
"state": "SC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "XHSP33612",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "407052600",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "EMORY DUNWOODY MEDICAL CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}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 Dec 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.