Emory Johns Creek Hospital

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

EMORY JOHNS CREEK HOSPITAL

Practice address

6325 Hospital Pkwy
Duluth, GA 30097-5775

Phone

(678) 474-7822

Fax

(678) 474-7522

NPI assigned

Apr 22, 2014

Last updated

Apr 22, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kevin Harrell, M.D.

Title

Pathologist

Phone

(678) 474-7822

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Emory Johns Creek Hospital6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

• Emory Healthcare

  • General Acute Care Hospital
  • Atlanta, GA
  • NPI 1740689496
  NPD tax ID
• Emory Healthcare

  • General Acute Care Hospital
  • Atlanta, GA
  • NPI 1972792885
  NPD tax ID
• Emory Healthcare at Coca Cola

  • Primary Care Clinic/Center
  • Atlanta, GA
  • NPI 1497166847
  NPD tax ID
• Emory Healthcare, Inc

  • Primary Care Clinic/Center
  • Atlanta, GA
  • NPI 1205360450
  NPD tax ID
• Emory University

  dba Emory Healthcare Inc

  • Diagnostic Radiology Physician
  • Atlanta, GA
  • NPI 1063801421
  NPD tax ID

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

{
    "created_epoch": "1398124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398124800000",
    "number": "1861812448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6325 HOSPITAL PKWY",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300975775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 HOSPITAL PKWY",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300975775",
            "telephone_number": "678-474-7822",
            "fax_number": "678-474-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMORY JOHNS CREEK HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-22",
        "last_updated": "2014-04-22",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PATHOLOGIST",
        "authorized_official_telephone_number": "678-474-7822",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Faith Ellis
• Emerald Concierge Healthcare, Inc
• Emerald Rads LLC
• Emily Kurokawa MD LLC (Back Pain MD)
• Eminence Physical Therapy, LLC
• Emory Medical Affiliates, Inc
• Emory Physical Therapy, LLC
• Ivy Ann Emsley
• Jeffrey Ivan Ender, DO
• Brittany Nicole English

• Clinical Medical Laboratory in Duluth, GA
• Providers in Duluth, GA by specialty
• Clinical Medical Laboratory in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.