NPIMap

Organization Active NPI

Wellstar Atlanta Medical Center, Inc

  • Family Medicine Physician
  • Morrow, GA
National Provider Identifier
1881620334
Registry record updated Feb 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
NA
Legal business name
WELLSTAR ATLANTA MEDICAL CENTER, INC
Practice address
1000 Corporate Center Dr
Suite 200
Morrow, GA 30260-4180
Phone
(770) 968-6464
Fax
(770) 968-6455
NPI assigned
Jun 25, 2006
Last updated
Feb 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2020

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

Authorized official

Name
Mr. Anthony J Budzinski
Title
Evp & Chief Financial Officer
Phone
(470) 644-0012

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X NA Primary
Orthopaedic Trauma PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XX0801X
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Assisted Living Facility 310400000X NA

Addresses

Primary practice location

1000 Corporate Center Dr
Suite 200
Morrow, GA 30260-4180

Mailing address

1800 Parkway PL SE Ste 500
Marietta, GA 30067-8237
Phone (470) 999-4981

National Provider Directory

National Provider Directory

Locations

265 Boulevard NE
#2
Atlanta, GA 30312
Phone (404) 265-3503

265 Boulevard NE
Fl 2
Atlanta, GA 30312
Phone (404) 265-4659

285 Boulevard NE
Ste 520
Atlanta, GA 30312
Phone (404) 265-2800

285 Boulevard NE
Ste 525
Atlanta, GA 30312
Phone (404) 265-1044

285 Boulevard NE
Ste L3
Atlanta, GA 30312
Phone (404) 265-4325

303 Parkway Dr NE
Ste 5N
Atlanta, GA 30312

315 Boulevard NE
Ste 500
Atlanta, GA 30312
Phone (404) 265-3635

320 Parkway Dr NE
#244
Atlanta, GA 30312
Phone (404) 265-4478

320 Parkway Dr NE
#300
Atlanta, GA 30312
Phone (404) 265-6991

320 Parkway Dr NE
Ste 300A
Atlanta, GA 30312
Phone (404) 265-6991

1000 Corporate Center Dr
Morrow, GA 30260
Phone (770) 968-6464

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582502400000",
    "number": "1881620334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 PARKWAY PL SE STE 500",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678237",
            "telephone_number": "470-999-4981",
            "fax_number": "770-999-2489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 CORPORATE CENTER DR",
            "address_2": "SUITE 200",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302604180",
            "telephone_number": "770-968-6464",
            "fax_number": "770-968-6455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLSTAR ATLANTA MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2020-02-24",
        "certification_date": "2020-02-24",
        "status": "A",
        "authorized_official_last_name": "BUDZINSKI",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "EVP & CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "470-644-0012",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": "NA",
            "primary": true
        },
        {
            "code": "207XX0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Trauma",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": "NA",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morrow, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.