Organization Active NPI

Dave Ou, M.D., P.C.

  • Primary Care Clinic/Center
  • Atlanta, GA
National Provider Identifier
1851605927
Registry record updated Aug 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
044299 Issued in GA
Legal business name
DAVE OU, M.D., P.C.
Practice address
1766 Century Blvd NE
Suite B
Atlanta, GA 30345-3394
Phone
(404) 418-6010
Fax
(404) 418-6011
NPI assigned
Aug 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2010

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

Authorized official

Name
Dave Ou, M.D.
Title
Owner
Phone
(404) 418-6010

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 044299 GA
Primary Care Clinic/Center 261QP2300X 044299 GA Primary

Addresses

Primary practice location

1766 Century Blvd NE
Suite B
Atlanta, GA 30345-3394

Mailing address

1766 Century Blvd NE
Suite B
Atlanta, GA 30345-3394
Phone (404) 418-6010

National Provider Directory

National Provider Directory

Locations

2200 Century Pkwy NE
Ste 120
Atlanta, GA 30345
Phone (404) 418-6010

NPI Registry JSON

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

{
    "created_epoch": "1280620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280620800000",
    "number": "1851605927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1766 CENTURY BLVD NE",
            "address_2": "SUITE B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453394",
            "telephone_number": "404-418-6010",
            "fax_number": "404-418-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1766 CENTURY BLVD NE",
            "address_2": "SUITE B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453394",
            "telephone_number": "404-418-6010",
            "fax_number": "404-418-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVE OU, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-01",
        "last_updated": "2010-08-01",
        "status": "A",
        "authorized_official_last_name": "OU",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-418-6010",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "044299",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "044299",
            "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 Aug 1, 2010; 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.