Dr.Lily Narusevicius

Primary specialty

Preferred Provider OrganizationTaxonomy code 305R00000X

License

037308 Issued in GA

Legal business name

DR.LILY NARUSEVICIUS

Practice address

4890 Roswell Rd NE Ste 100
Atlanta, GA 30342-2606

Phone

(404) 845-1200

Fax

(404) 845-1269

NPI assigned

Feb 2, 2007

Organization subpart

No

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

Authorized official

Name

Montego B Brooks

Title

Office Manager

Phone

(404) 845-1219

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851439830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4890 ROSWELL RD NE STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303422606",
            "telephone_number": "404-845-1200",
            "fax_number": "404-845-1269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4890 ROSWELL RD NE STE 100",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303422606",
            "telephone_number": "404-845-1200",
            "fax_number": "404-845-1269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR.LILY NARUSEVICIUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "MONTEGO",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "404-845-1219"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "GA",
            "license": "037308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Preferred Provider Organization in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Preferred Provider Organization in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.