Atlanta Cosmetic Urology LLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

ATLANTA COSMETIC UROLOGY LLC

Practice address

371 E Paces Ferry Road
Suite 550
Atlanta, GA 30305-3292

Phone

(404) 400-3120

NPI assigned

May 6, 2019

Organization subpart

No

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

Authorized official

Name

Tariq Hakky, MDNPI 1598990533

Title

Owner

Phone

(404) 400-3120

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

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

• Tariq S Hakky, MD

  • Urology Physician
  • Atlanta, GA
  • NPI 1598990533
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557100800000",
    "number": "1750946703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "371 E PACES FERRY ROAD",
            "address_2": "SUITE 550",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303053292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "371 E PACES FERRY ROAD",
            "address_2": "SUITE 550",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303053292",
            "telephone_number": "404-400-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA COSMETIC UROLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-06",
        "last_updated": "2019-05-06",
        "status": "A",
        "authorized_official_last_name": "HAKKY",
        "authorized_official_first_name": "TARIQ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-400-3120",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.