Active NPI
Concierge Sports and Family Health Inc
- Health Service Clinic/Center
- Atlanta, GA
National Provider Identifier
1891519864
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Legal business name
- CONCIERGE SPORTS AND FAMILY HEALTH INC
- Practice address
- 4300 Paces Ferry Rd SE Ste 500
Atlanta, GA 30339-5714 - Phone
- (404) 282-9202
- Fax
- (404) 282-9202
- NPI assigned
- Nov 14, 2024
- 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
- Nadine Mines
- Title
- Founder/Ceo
- Phone
- (404) 282-9202
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
4300 Paces Ferry Rd SE Ste 500
Atlanta, GA 30339-5714
Mailing address
4300 Paces Ferry Rd SE Ste 500
Atlanta, GA 30339-5714
Phone (404) 282-9202
Other names 1
- Georgia Health Concierge Inc
National Provider Directory
National Provider DirectoryInteroperability endpoints
- https://fhir-myrecord.cerner.com/r4/3395c71b-af87-4a04-a6d7-5b165990cf12/
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Sports Medicine (Family Medicine) Physician
- Atlanta, GA
- NPI 1427150150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731542400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1731542400000",
"number": "1891519864",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 PACES FERRY RD SE STE 500",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303395714",
"telephone_number": "404-282-9202",
"fax_number": "404-282-9202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 PACES FERRY RD SE STE 500",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303395714",
"telephone_number": "404-282-9202",
"fax_number": "404-282-9202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONCIERGE SPORTS AND FAMILY HEALTH INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-11-14",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A",
"authorized_official_last_name": "MINES",
"authorized_official_first_name": "NADINE",
"authorized_official_title_or_position": "FOUNDER/CEO",
"authorized_official_telephone_number": "404-282-9202"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Georgia Health Concierge Inc",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 Nov 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.