NPIMap

Organization Active NPI

Legacy Medical Center of Atlanta, Inc.

Doing business as Legacy Medical Center

  • General Acute Care Hospital
  • Atlanta, GA
National Provider Identifier
1760449672
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
LEGACY MEDICAL CENTER OF ATLANTA, INC.
Doing business as
Legacy Medical Center
Practice address
501 Fairburn Rd SW
Atlanta, GA 30331-2012
Phone
(404) 699-1111
Fax
(404) 505-5361
NPI assigned
Apr 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Frederick T. Work, M.D.
Title
Board Chairman
Phone
(404) 699-1111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X GA Primary

Addresses

Primary practice location

501 Fairburn Rd SW
Atlanta, GA 30331-2012

Mailing address

501 Fairburn Rd SW
Atlanta, GA 30331-2012
Phone (404) 699-1111

Other names 1

  • Legacy Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Hospital certification: CCN 110080

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SOUTHWEST HOSPITAL AND MEDICAL CENTER
Certification status
Terminated Voluntary: other reason for withdrawal, Jan 15, 2005
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jul 31, 1991
Beds
125
Ownership / control type
Private (not for profit)
Facility address
501 Fairburn Road SW
Atlanta, GA 30331

Hospital certification: CCN 110228

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
LEGACY MEDICAL CENTER OF ATLANTA, INC
Certification status
Terminated Voluntary: merger or closure, Apr 20, 2007
Provider type (POS)
Hospital – Short-term
Participating since
Aug 3, 2006
Last certification
Aug 3, 2006
Beds
125
Ownership / control type
Private (for profit)
Facility address
501 Fairburn Road, SW
Atlanta, GA 30331

Hospital certification: CCN 110232

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SOUTHWEST ATLANTA HOSPITAL
Certification status
Terminated Voluntary: merger or closure, Jan 16, 2009
Provider type (POS)
Hospital – Short-term
Participating since
Nov 26, 2008
Last certification
Nov 26, 2008
Beds
125
Ownership / control type
Private (for profit)
Facility address
501 Fairburn Road, SW
Atlanta, GA 30331

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760449672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 FAIRBURN RD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312012",
            "telephone_number": "404-699-1111",
            "fax_number": "404-505-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 FAIRBURN RD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303312012",
            "telephone_number": "404-699-1111",
            "fax_number": "404-505-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY MEDICAL CENTER OF ATLANTA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WORK",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "BOARD CHAIRMAN",
        "authorized_official_telephone_number": "404-699-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Legacy Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.