Emerald Concierge Healthcare, Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

EMERALD CONCIERGE HEALTHCARE, INC

Practice address

6555 Sugarloaf Pkwy Ste 307-261
Duluth, GA 30097-4930

Phone

(904) 687-4431

NPI assigned

Nov 11, 2024

Organization subpart

No

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

Authorized official

Name

Mark Olmstead

Title

Owner

Phone

(904) 687-4431

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731283200000",
    "number": "1770307332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6555 SUGARLOAF PKWY STE 307-261",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6555 SUGARLOAF PKWY STE 307-261",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300974930",
            "telephone_number": "904-687-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD CONCIERGE HEALTHCARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-11",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A",
        "authorized_official_last_name": "OLMSTEAD",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-687-4431"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Duluth, GA
• Providers in Duluth, GA by specialty
• General Practice Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2024; 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.