NPIMap

Organization Active NPI

WL MD Atlanta, LLC

  • Health Service Clinic/Center
  • Alpharetta, GA
National Provider Identifier
1831529841
Registry record updated Nov 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
WL MD ATLANTA, LLC
Practice address
9925 Haynes Bridge Rd
#320
Alpharetta, GA 30022-8532
Phone
(770) 777-7495
Fax
(770) 777-7459
NPI assigned
Nov 13, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2013

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

Authorized official

Name
Dave Dorian
Title
Board Member
Phone
(770) 777-7495

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

9925 Haynes Bridge Rd
#320
Alpharetta, GA 30022-8532

Mailing address

9925 Haynes Bridge Rd
#320
Alpharetta, GA 30022-8532

Other names 1

  • MD Low T Doing business as

National Provider Directory

National Provider Directory

Locations

9925 Haynes Bridge Rd
Ste 320
Johns Creek, GA 30022
Phone (770) 777-7495

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1384300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384300800000",
    "number": "1831529841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9925 HAYNES BRIDGE RD",
            "address_2": "#320",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300228532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9925 HAYNES BRIDGE RD",
            "address_2": "#320",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300228532",
            "telephone_number": "770-777-7495",
            "fax_number": "770-777-7459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WL MD ATLANTA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-13",
        "last_updated": "2013-11-13",
        "status": "A",
        "authorized_official_last_name": "DORIAN",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "770-777-7495"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MD Low T",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; 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.