Organization Active NPI

Metro Community Healthcare LLC

  • Family Nurse Practitioner
  • Tucker, GA
National Provider Identifier
1891243960
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
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

Updated by the provider on Feb 27, 2017

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)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X GA
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.