Organization Active NPI

Tarr Medical PC

  • Family Medicine Physician
  • Atlanta, GA
National Provider Identifier
1881911089
Registry record updated Feb 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
60239 Issued in GA
Legal business name
TARR MEDICAL PC
Practice address
1123 Ralph David Abernathy Blvd SW
Atlanta, GA 30310-1729
Phone
(404) 346-3487
Fax
(404) 349-8628
NPI assigned
Apr 27, 2010
Organization subpart
Yes
Parent organization
TARR MEDICAL PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 18, 2015

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

Authorized official

Name
Dr. Carla Bedford Dixon, MD
Title
Ceo
Phone
(404) 346-3487

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 60239 GA Primary

Addresses

Primary practice location

1123 Ralph David Abernathy Blvd SW
Atlanta, GA 30310-1729

Mailing address

1123 Ralph David Abernathy Blvd SW
Atlanta, GA 30310-1729
Phone (404) 346-3487

National Provider Directory

National Provider Directory
Part of
Tarr Medical PC

Locations

2797 Campbellton Rd SW
Ste C2
Atlanta, GA 30311

NPI Registry JSON

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

{
    "created_epoch": "1272326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424217600000",
    "number": "1881911089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 RALPH DAVID ABERNATHY BLVD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101729",
            "telephone_number": "404-346-3487",
            "fax_number": "404-349-8628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 RALPH DAVID ABERNATHY BLVD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101729",
            "telephone_number": "404-346-3487",
            "fax_number": "404-349-8628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARR MEDICAL PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TARR MEDICAL  PC",
        "enumeration_date": "2010-04-27",
        "last_updated": "2015-02-18",
        "status": "A",
        "authorized_official_last_name": "DIXON",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "BEDFORD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-346-3487",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "60239",
            "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 Feb 18, 2015; 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.