Active NPI
Juno Medical Practice
- Multi-Specialty Clinic/Center
- Atlanta, GA
National Provider Identifier
1831809854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- JUNO MEDICAL PRACTICE
- Practice address
- 777 Memorial Dr SE Unit A200
Atlanta, GA 30316-1582 - Phone
- (212) 300-2836
- NPI assigned
- Nov 30, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aarti Agarwal, MD
- Title
- Owner
- Phone
- (617) 304-6260
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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Pediatrics Physician | 208000000X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | Primary |
Addresses
Primary practice location
777 Memorial Dr SE Unit A200
Atlanta, GA 30316-1582
Mailing address
228 Park Ave S # 34199
New York, NY 10003-1502
National Provider Directory
National Provider DirectoryLocations
2199 College Ave NE
Atlanta, GA 30317
Phone (404) 369-1692
777 Memorial Dr SE
Unit A200
Atlanta, GA 30316
Phone (212) 300-2836
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Elizabeth, NJ
- NPI 1447269956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669766400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1669766400000",
"number": "1831809854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 PARK AVE S # 34199",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100031502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 MEMORIAL DR SE UNIT A200",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303161582",
"telephone_number": "212-300-2836"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JUNO MEDICAL PRACTICE",
"organizational_subpart": "NO",
"enumeration_date": "2022-11-30",
"last_updated": "2022-11-30",
"certification_date": "2022-11-30",
"status": "A",
"authorized_official_last_name": "AGARWAL",
"authorized_official_first_name": "AARTI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "617-304-6260",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.