NPIMap

Organization Active NPI

United Medical Clinic Inc

  • General Practice Physician
  • Norcross, GA
National Provider Identifier
1740516368
Registry record updated Nov 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
058113 Issued in GA
Legal business name
UNITED MEDICAL CLINIC INC
Practice address
6062 Buford Hwy
117
Norcross, GA 30071-2424
Phone
(770) 446-0111
Fax
(770) 446-0102
NPI assigned
Nov 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2009

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

Authorized official

Name
Jung Ok Choi
Title
President
Phone
(770) 446-0111

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Preventive Medicine/Occupational Environmental Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083P0500X 058113 GA
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X 058113 GA Primary

Addresses

Primary practice location

6062 Buford Hwy
117
Norcross, GA 30071-2424

Mailing address

6062 Buford Hwy
117
Norcross, GA 30071-2424

Other names 1

  • UNI MEDICAL CLINIC Doing business as

National Provider Directory

National Provider Directory

Locations

6062 Buford Hwy
Ste 117
Norcross, GA 30071
Phone (770) 446-0111

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257120000000",
    "number": "1740516368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6062 BUFORD HWY",
            "address_2": "117",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300712424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6062 BUFORD HWY",
            "address_2": "117",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300712424",
            "telephone_number": "770-446-0111",
            "fax_number": "770-446-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-02",
        "last_updated": "2009-11-02",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "JUNG",
        "authorized_official_middle_name": "OK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-446-0111"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "GA",
            "license": "058113",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "GA",
            "license": "058113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UNI MEDICAL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; 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.