East Point Medical Center

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

022351 Issued in GA

Legal business name

EAST POINT MEDICAL CENTER

Practice address

1203 Cleveland Ave
Suite a
East Point, GA 30344-3417

Phone

(404) 209-1408

Fax

(404) 209-1411

NPI assigned

Jun 13, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Miguel Angel Hernandez

Title

Director

Phone

(404) 209-1408

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1276387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276387200000",
    "number": "1871814970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 CLEVELAND AVE",
            "address_2": "SUITE A",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443417",
            "telephone_number": "404-209-1408",
            "fax_number": "404-209-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 CLEVELAND AVE",
            "address_2": "SUITE A",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443417",
            "telephone_number": "404-209-1408",
            "fax_number": "404-209-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST POINT MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-13",
        "last_updated": "2010-06-13",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MIGUEL ANGEL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-209-1408",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "022351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dva Renal Healthcare Inc
• Dynamic Therapy
• East Point Chiropractic Center
• East Point Chiropractic, P.C.
• East Point Eye Clinic PC
• East Point Pharmacy LLC
• East Point Pharmacy LLC
• East Point Physicians Group, PC
• East Point Primary Care Center, PC
• Kari Edmond, NP

• Family Medicine Physician in East Point, GA
• Providers in East Point, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 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.