MRM Medical Group

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

MRM MEDICAL GROUP

Practice address

1640 Powers Ferry Rd Building 15 Suite 200
Marietta, GA 30067-2067

Phone

(561) 704-6781

Fax

(561) 209-0868

NPI assigned

Mar 2, 2021

Organization subpart

No

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

Authorized official

Name

Randy Herfield

Title

Ceo

Phone

(561) 704-6781

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1614643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629072000000",
    "number": "1801481882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4060 ARTESA DR",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334362628",
            "telephone_number": "561-704-6781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 POWERS FERRY RD BUILDING 15 SUITE 200",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300672067",
            "telephone_number": "561-704-6781",
            "fax_number": "561-209-0868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13 W Kent St",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "374059911",
            "country_code": "US",
            "telephone_number": "561-704-6781",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "134 Timber Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Cordova",
            "state": "TN",
            "postal_code": "380184291",
            "country_code": "US",
            "telephone_number": "561-704-6781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MRM MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-02",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A",
        "authorized_official_last_name": "HERFIELD",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-704-6781"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in Marietta, GA
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• Multi-Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.