Corporate Health Partners, LLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

CORPORATE HEALTH PARTNERS, LLC

Doing business as

Corporate Health Partners

Practice address

2105 Barrett Park Dr NW
Ste106
Kennesaw, GA 30144-7080

Phone

(675) 486-8610

Fax

(678) 848-6643

NPI assigned

Sep 7, 2016

Last updated

Mar 7, 2023By 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

Mr. John A Obrien

Title

Cfo

Phone

(404) 621-5556

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Corporate Health Partners Doing business as

Locations

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1821545997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 BARRETT PARK DR NW",
            "address_2": "STE106",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447080",
            "telephone_number": "675-486-8610",
            "fax_number": "678-486-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 BARRETT PARK DR NW",
            "address_2": "STE106",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447080",
            "telephone_number": "675-486-8610",
            "fax_number": "678-848-6643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPORATE HEALTH PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-07",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "OBRIEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "404-621-5556",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "08BBSCZ",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corporate Health Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.