NPIMap

Organization Active NPI

Morehouse Healthcare, Inc.

  • Student in an Organized Health Care Education/Training Program
  • Atlanta, GA
National Provider Identifier
1861094989
Registry record updated Nov 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Legal business name
MOREHOUSE HEALTHCARE, INC.
Doing business as
Morehouse Healthcare Student Health & Wellness Center (3rd floor)
Practice address
455 Lee Street, 3Rd Floor
Atlanta, GA 30310
Phone
(404) 756-1400
NPI assigned
Nov 13, 2020
Organization subpart
Yes
Parent organization
MOREHOUSE HEALTHCARE, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 13, 2020

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

Authorized official

Name
Jasmine S Bajnath
Title
Credentialing Manager
Phone
(404) 756-1400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training ProgramGroup: 193200000X MULTI-SPECIALTY GROUP 390200000X Primary

Addresses

Primary practice location

455 Lee Street, 3Rd Floor
Atlanta, GA 30310

Mailing address

455 Lee Street, 3Rd Floor
Atlanta, GA 30310
Phone (404) 756-1400

Other names 1

  • Morehouse Healthcare Student Health & Wellness Center (3rd floor) Doing business as

National Provider Directory

National Provider Directory
Tax ID family
James W Reed9 organizations share this tax ID, including this one
Part of
James W Reed

Other organizations with this tax ID 8

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

Locations

455 Lee St SW
Fl 3
Atlanta, GA 30310
Phone (404) 756-1241

NPI Registry JSON

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

{
    "created_epoch": "1605225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605225600000",
    "number": "1861094989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 LEE STREET, 3RD FLOOR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30310",
            "telephone_number": "404-756-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 LEE STREET, 3RD FLOOR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30310",
            "telephone_number": "404-756-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOREHOUSE HEALTHCARE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MOREHOUSE HEALTHCARE, INC.",
        "enumeration_date": "2020-11-13",
        "last_updated": "2020-11-13",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "BAJNATH",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "404-756-1400"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morehouse Healthcare Student Health & Wellness Center (3rd floor)",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 13, 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.