NPIMap

Organization Active NPI

Centrespring MD

  • Primary Care Clinic/Center
  • Brookhaven, GA
National Provider Identifier
1831553163
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
CENTRESPRING MD
Practice address
1401 Dresden Dr NE
Brookhaven, GA 30319-3579
Phone
(404) 814-9808
Fax
(404) 814-6086
NPI assigned
Apr 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Authorized official

Name
Tasneem Bhatia, MDNPI 1932213154
Title
Founder
Phone
(404) 814-9808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1401 Dresden Dr NE
Brookhaven, GA 30319-3579

Mailing address

1401 Dresden Dr NE
Brookhaven, GA 30319-3579
Phone (404) 814-9808

National Provider Directory

National Provider Directory

Locations

1401 Dresden Dr NE
Brookhaven, GA 30319
Phone (404) 814-9308

Practitioners & affiliated clinicians

Practitioners 7

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": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1831553163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 DRESDEN DR NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303193579",
            "telephone_number": "404-814-9808",
            "fax_number": "404-814-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 DRESDEN DR NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303193579",
            "telephone_number": "404-814-9808",
            "fax_number": "404-814-6086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRESPRING MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "BHATIA",
        "authorized_official_first_name": "TASNEEM",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "404-814-9808",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2016; 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.