Active NPI
RL Brown Jr Grady Health Center at Hartsfield Jackson Airport
- Urgent Care Clinic/Center
- Atlanta, GA
National Provider Identifier
1902952625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- 060-069
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 987203 | Other | GA | COVENTRY PROVIDER NUMBER |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Medical Physician Assistant
- Marietta, GA
- NPI 1619043650
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.