Active NPI
Metro Community Healthcare LLC
- Family Nurse Practitioner
- Tucker, GA
National Provider Identifier
1891243960
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- METRO COMMUNITY HEALTHCARE LLC
- Practice address
- 1462 Montreal Rd
Suite 418
Tucker, GA 30084-6932 - Phone
- (678) 580-5958
- Fax
- (770) 807-0878
- NPI assigned
- Sep 16, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Charlene Robinson, MD
- Title
- Owner
- Phone
- (678) 580-5958
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | GA | ||
| Family Nurse Practitioner | 363LF0000X | GA | Primary |
Addresses
Primary practice location
1462 Montreal Rd
Suite 418
Tucker, GA 30084-6932
Mailing address
1462 Montreal Rd
Suite 418
Tucker, GA 30084-6932
Phone (678) 580-5958
National Provider Directory
National Provider DirectoryLocations
1462 Montreal Rd
Ste 118
Tucker, GA 30084
Phone (678) 580-5958
1462 Montreal Rd
Ste 418
Tucker, GA 30084
Phone (678) 580-5958
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Tucker, GA
- NPI 1902418247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473984000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1488153600000",
"number": "1891243960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1462 MONTREAL RD",
"address_2": "SUITE 418",
"city": "TUCKER",
"state": "GA",
"postal_code": "300846932",
"telephone_number": "678-580-5958",
"fax_number": "770-807-0878"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1462 MONTREAL RD",
"address_2": "SUITE 418",
"city": "TUCKER",
"state": "GA",
"postal_code": "300846932",
"telephone_number": "678-580-5958",
"fax_number": "770-807-0878"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "METRO COMMUNITY HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-16",
"last_updated": "2017-02-27",
"status": "A",
"authorized_official_last_name": "ROBINSON",
"authorized_official_first_name": "CHARLENE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-580-5958",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "GA",
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucker, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.