Organization Active NPI

Sud Medical Group, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Atlanta, GA
National Provider Identifier
1902559909
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
SUD MEDICAL GROUP, LLC
Practice address
2285 Peachtree Rd NE Ste 210B
Atlanta, GA 30309-1121
Phone
(404) 333-2277
NPI assigned
Jan 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Authorized official

Name
Mr. Carter D Pope Jr.
Title
Ceo
Phone
(404) 333-2277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

2285 Peachtree Rd NE Ste 210B
Atlanta, GA 30309-1121

Mailing address

2285 Peachtree Rd NE Ste 210B
Atlanta, GA 30309-1121
Phone (404) 333-2277

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1902559909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2285 PEACHTREE RD NE STE 210B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091121",
            "telephone_number": "404-333-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2285 PEACHTREE RD NE STE 210B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091121",
            "telephone_number": "404-333-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUD MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "POPE",
        "authorized_official_first_name": "CARTER",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-333-2277",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "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 Jan 31, 2022; 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.