Organization Active NPI

RL Brown Jr Grady Health Center at Hartsfield Jackson Airport

  • Urgent Care Clinic/Center
  • Atlanta, GA
National Provider Identifier
1902952625
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
060-069 Issued in GA
Legal business name
RL BROWN JR GRADY HEALTH CENTER AT HARTSFIELD JACKSON AIRPORT
Practice address
6000 North Terminal Parkway
Atrium Suite 375
Atlanta, GA 30320
Phone
(404) 616-6000
Fax
(404) 768-3990
NPI assigned
Jan 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Joseph E Taylor
Title
Vice President
Phone
(404) 616-4930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 060-069 GA Primary

Addresses

Primary practice location

6000 North Terminal Parkway
Atrium Suite 375
Atlanta, GA 30320

Mailing address

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone (404) 616-6000

Other identifiers 1

IdentifierTypeStateIssuer
987203OtherGACOVENTRY PROVIDER NUMBER

National Provider Directory

National Provider Directory

Locations

6000 N Terminal Pkwy
Ste 375
Atlanta, GA 30320
Phone (404) 616-6000

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": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902952625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 JESSE HILL JR DR SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033031",
            "telephone_number": "404-616-6000",
            "fax_number": "404-768-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 NORTH TERMINAL PARKWAY",
            "address_2": "ATRIUM SUITE 375",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30320",
            "telephone_number": "404-616-6000",
            "fax_number": "404-768-3990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RL BROWN JR GRADY HEALTH CENTER AT HARTSFIELD JACKSON AIRPORT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "404-616-4930",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "GA",
            "license": "060-069",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY PROVIDER NUMBER",
            "identifier": "987203",
            "state": "GA"
        }
    ],
    "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 Aug 22, 2020; 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.