NPIMap

Organization Active NPI

Atlanta Medical Clinic L L C

  • Durable Medical Equipment & Medical Supplies
  • Atlanta, GA
National Provider Identifier
1891018016
Registry record updated Apr 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
ATLANTA MEDICAL CLINIC L L C
Practice address
197 14TH St NW Ste 300
Atlanta, GA 30318-7818
Phone
(404) 872-8837
Fax
(678) 244-2155
NPI assigned
Mar 2, 2010
Last updated
Apr 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2026

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

Authorized official

Name
Mr. Hunter Tully
Title
Ceo
Phone
(954) 621-6887

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

197 14TH St NW Ste 300
Atlanta, GA 30318-7818

Mailing address

197 14TH St NW Ste 300
Atlanta, GA 30318-7818
Phone (404) 872-8837

Other practice location 1

720 Old Snellville Hwy Ste 150
Lawrenceville, GA 30044-6201
Phone (404) 872-8837

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100611000008 GA Part B Supplier - Clinic/Group Practice 4880724285 Receives reassigned benefits from 13 practitioners
Practice locations: Atlanta, GA; Lawrenceville, GA
O20110223000315 GA DME Supplier - Medical Supply CompanyDME Supplier - Orthotic Personnel 4880724285 Practice locations: Atlanta, GA

Laboratory certificates & supplier records

Derived by NPIMap

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Atlanta Medical Clinic L L C197 14TH St NW, Atlanta, GA 30318-7818(404) 872-8837 Blood Glucose Monitors/Supplies (Non-Mail Order)|Blood Glucose Monitors/Supplies (Mail Order)|Traction Equipment|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Supplies|Canes and/or Crutches|Walkers|Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off… Accepts assignmentParticipating since Apr 1, 2010

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

197 14th St NW
Atlanta, GA 30318

197 14th St NW
Ste 300
Atlanta, GA 30318
Phone (404) 872-8837

197 14th St NW
Ste 300A
Atlanta, GA 30318

699 Piedmont Ave NE
Ste B
Atlanta, GA 30308
Phone (404) 872-8837

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777507200000",
    "number": "1891018016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 14TH ST NW STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303187818",
            "telephone_number": "404-872-8837",
            "fax_number": "678-244-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 14TH ST NW STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303187818",
            "telephone_number": "404-872-8837",
            "fax_number": "678-244-2155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Old Snellville Hwy Ste 150",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300446201",
            "country_code": "US",
            "telephone_number": "404-872-8837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ATLANTA MEDICAL CLINIC L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-02",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A",
        "authorized_official_last_name": "TULLY",
        "authorized_official_first_name": "HUNTER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-621-6887",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "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 Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.