STR of Georgia

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

STR OF GEORGIA

Practice address

2566 Shallowford Rd NE Ste 104
Atlanta, GA 30345-1200

Phone

(404) 769-1235

NPI assigned

Nov 6, 2008

Last updated

Nov 6, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Mitchell

Title

Ceo

Phone

(404) 769-1235

Specialties & licenses 1

Addresses

Tax ID family

STR of Georgia2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• S.T.R of Georgia

  • Internal Medicine Physician
  • Atlanta, GA
  • NPI 1659525152
  NPD tax ID

Locations

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225929600000",
    "number": "1750535571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2566 SHALLOWFORD RD NE STE 104",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303451200",
            "telephone_number": "404-769-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2566 SHALLOWFORD RD NE STE 104",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303451200",
            "telephone_number": "404-769-1235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STR OF GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-06",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-769-1235"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Purman Stover, OD
• Shakira Ann Stover, RN-BSN, IBCLC
• Shanae Stover, LCSW
• Mark Cooper Stovroff, M.D.
• Jennifer Stowe, LCSW
• Ashton Tureaud Strachan, FNP-C, WHNP-BC, APRN
• Shyamala Strack, O.T.
• Melanie Robin Strahm, P.A.
• John Wesley Strain II, PA-C
• Kim Strain

• 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 Nov 6, 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.

Verify at the official NPI Registry.