Organization Active NPI

Alpha Medical Center LLC

  • General Practice Physician
  • Decatur, GA
National Provider Identifier
1760673537
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
ALPHA MEDICAL CENTER LLC
Practice address
619 E College Ave Ste C1
Decatur, GA 30030-5326
Phone
(404) 286-4824
Fax
(404) 286-4825
NPI assigned
Aug 7, 2007
Last updated
Aug 7, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Authorized official

Name
Eloy Fabre Garcia
Title
President/Owner
Phone
(404) 286-4824

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X Primary

Addresses

Primary practice location

619 E College Ave Ste C1
Decatur, GA 30030-5326

Mailing address

619 E College Ave Ste C1
Decatur, GA 30030-5326
Phone (404) 286-4824

National Provider Directory

National Provider Directory

Locations

619 E College Ave
Ste C1
Decatur, GA 30030
Phone (404) 286-4824

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1760673537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 E COLLEGE AVE STE C1",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300305326",
            "telephone_number": "404-286-4824",
            "fax_number": "404-286-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 E COLLEGE AVE STE C1",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300305326",
            "telephone_number": "404-286-4824",
            "fax_number": "404-286-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA MEDICAL CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "FABRE GARCIA",
        "authorized_official_first_name": "ELOY",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "404-286-4824"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.