Atlanta Knee and Shoulder Clinic PC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

33524 Issued in GA

Legal business name

ATLANTA KNEE AND SHOULDER CLINIC PC

Practice address

3200 Downwood Cir NW
Suite 410
Atlanta, GA 30327-1610

Phone

(727) 755-0693

Fax

(727) 755-0679

NPI assigned

Dec 18, 2015

Organization subpart

No

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

Authorized official

Name

Nicole Sisko

Title

Credentialing Specialist

Phone

(727) 755-0693

Specialties & licenses 1

Addresses

Other names 1

• Atlanta Orthopedic Institute Doing business as

Tax ID family

Atlanta Knee and Shoulder Clinic PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Atlanta Knee and Shoulder Clinic PC

  • Orthopaedic Surgery Physician
  • Atlanta, GA
  • NPI 1477039741
  NPD tax ID

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

{
    "created_epoch": "1450396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450396800000",
    "number": "1831554765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9830",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841099830",
            "telephone_number": "727-755-0693",
            "fax_number": "727-755-0679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 DOWNWOOD CIR NW",
            "address_2": "SUITE 410",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303271610",
            "telephone_number": "727-755-0693",
            "fax_number": "727-755-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA KNEE AND SHOULDER CLINIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-18",
        "last_updated": "2015-12-18",
        "status": "A",
        "authorized_official_last_name": "SISKO",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "727-755-0693"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "GA",
            "license": "33524",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlanta Orthopedic Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Atlanta Internal Medicine and Psychiatric Care
• Atlanta Intervention Center, Inc
• Atlanta Intra-Op Monitoring LLC
• Atlanta Kidney Care LLC
• Atlanta Knee and Shoulder Clinic PC
• Atlanta Lactation
• Atlanta Lactation
• Atlanta Life Journeys Services, LLC
• Atlanta Lifestyle Medical Center
• Atlanta Lung Specialists, P.C.

• Non-Pharmacy Dispensing Site in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Non-Pharmacy Dispensing Site in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2015; 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.