Body Logic of Atlanta

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

46540 Issued in GA

Legal business name

BODY LOGIC OF ATLANTA

Practice address

2941 Piedmont Rd NE
Suite C
Atlanta, GA 30305-2784

Phone

(404) 608-0376

NPI assigned

Dec 7, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Andree Necole Matthews

Title

Billing Manager

Phone

(678) 613-2971

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1481068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481068800000",
    "number": "1740724848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2941 PIEDMONT RD NE",
            "address_2": "SUITE C",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052784",
            "telephone_number": "404-608-0376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2941 PIEDMONT RD NE",
            "address_2": "SUITE C",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052784",
            "telephone_number": "404-608-0376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODY LOGIC OF ATLANTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-07",
        "last_updated": "2016-12-07",
        "status": "A",
        "authorized_official_last_name": "MATTHEWS",
        "authorized_official_first_name": "ANDREE",
        "authorized_official_middle_name": "NECOLE",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "678-613-2971",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "46540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arthur D Bodner, DMD
• Gary Roy Bodner, M.D.
• Imre Bodo
• Peter Bodunrin
• Peggy Ann Bodway, R.N.
• Body Mechanics Physical Therapy LLC
• Bodywellness Physical Therapy, L.L.C.
• Betty Boecler, NNP-BC
• Rita Boehlert
• Heather Diane Boehm Maginn, PAAA

• Family Medicine Physician in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; 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.