Organization Active NPI

Ahmed Medical Center, Inc.

  • Psychiatry Physician
  • McDonough, GA
National Provider Identifier
1760612345
Registry record updated Jul 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
AHMED MEDICAL CENTER, INC.
Practice address
2340 Patrick Henry Pkwy
Suite 225
McDonough, GA 30253-4216
Phone
(770) 389-8100
Fax
(770) 389-3030
NPI assigned
Jul 17, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2009

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

Authorized official

Name
Ashley Tagtachian
Title
Administrator
Phone
(770) 389-8100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X GA Primary

Addresses

Primary practice location

2340 Patrick Henry Pkwy
Suite 225
McDonough, GA 30253-4216

Mailing address

2340 Patrick Henry Pkwy
Suite 225
McDonough, GA 30253-4216
Phone (770) 389-8100

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1247788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247788800000",
    "number": "1760612345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 PATRICK HENRY PKWY",
            "address_2": "SUITE 225",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534216",
            "telephone_number": "770-389-8100",
            "fax_number": "770-389-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 PATRICK HENRY PKWY",
            "address_2": "SUITE 225",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534216",
            "telephone_number": "770-389-8100",
            "fax_number": "770-389-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHMED MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-17",
        "last_updated": "2009-07-17",
        "status": "A",
        "authorized_official_last_name": "TAGTACHIAN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-389-8100"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.