NPIMap

Organization Active NPI

Clinical Support Systems, LLC

  • Surgical Technologist
  • Atlanta, GA
National Provider Identifier
1912147661
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical TechnologistTaxonomy code 246ZS0410X
Legal business name
CLINICAL SUPPORT SYSTEMS, LLC
Practice address
303 Parkway Dr NE
Suite 417
Atlanta, GA 30312-1212
Phone
(770) 785-9201
Fax
(770) 602-1603
NPI assigned
Feb 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

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

Authorized official

Name
Robert D Redding
Title
President
Phone
(770) 785-9201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 246ZS0410X Primary

Addresses

Primary practice location

303 Parkway Dr NE
Suite 417
Atlanta, GA 30312-1212

Mailing address

303 Parkway Dr NE
Suite 417
Atlanta, GA 30312-1212
Phone (770) 785-9201

National Provider Directory

National Provider Directory
Tax ID family
Clincal Support Systems2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

303 Parkway Dr NE
Ste 417
Atlanta, GA 30312
Phone (770) 785-9201

NPI Registry JSON

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235088000000",
    "number": "1912147661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 PARKWAY DR NE",
            "address_2": "SUITE 417",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121212",
            "telephone_number": "770-785-9201",
            "fax_number": "770-602-1603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 PARKWAY DR NE",
            "address_2": "SUITE 417",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303121212",
            "telephone_number": "770-785-9201",
            "fax_number": "770-602-1603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL SUPPORT SYSTEMS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-20",
        "last_updated": "2009-02-20",
        "status": "A",
        "authorized_official_last_name": "REDDING",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-785-9201"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "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 Feb 20, 2009; 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.