Chimedical Diagnostics, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

056072 Issued in GA

Legal business name

CHIMEDICAL DIAGNOSTICS, LLC

Practice address

541 Forest Pkwy
Suite #14
Forest Park, GA 30297-6144

Phone

(877) 298-7705

Fax

(866) 837-9033

NPI assigned

Apr 17, 2014

Last updated

Apr 17, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Anthony Human, D.O.

Title

Medical Manager

Phone

(214) 619-2300

Specialties & licenses 3

Addresses

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.

• Stephen B Cooper, D.C.

  • Chiropractor
  • Phenix City, AL
  • NPI 1699719732
  NPD (past)

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397692800000",
    "number": "1790105740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1611",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368681611",
            "telephone_number": "877-298-7705",
            "fax_number": "866-837-9033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 FOREST PKWY",
            "address_2": "SUITE #14",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302976144",
            "telephone_number": "877-298-7705",
            "fax_number": "866-837-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIMEDICAL DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-17",
        "last_updated": "2014-04-17",
        "status": "A",
        "authorized_official_last_name": "HUMAN",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "MEDICAL MANAGER",
        "authorized_official_telephone_number": "214-619-2300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "4974",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "056072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Centro Prenatal de Georgia
• John Michael Chafin I
• Curtis L Champion, MD
• Chimed Fic Sa LLC
• Chimed Rehab South Atlanta, LLC
• Nyaradzo Chitambira, DC
• Christians Medical Equipment & Supplies Inc.
• Christians Pharmacy & Health Services Inc (Christians Health Services)
• Christians Pharmacy Inc (Christians Pharmacy)
• City of Forest Park

• General Practice Physician in Forest Park, GA
• Providers in Forest Park, 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 Apr 17, 2014; 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.