South Atlanta Medical Care

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

61081 Issued in GA

Legal business name

SOUTH ATLANTA MEDICAL CARE

Practice address

6525 Professional PL Ste B
Riverdale, GA 30274-2519

Phone

(404) 254-5496

Fax

(404) 254-5829

NPI assigned

Aug 29, 2011

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tushar Narrottam

Title

Manager

Phone

(404) 867-3584

Specialties & licenses 8

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Imo Friday Ndem, M.D

  • Occupational Medicine Physician
  • Augusta, GA
  • NPI 1982868915
  NPD (past)

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1912288457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6525 PROFESSIONAL PL STE B",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742519",
            "telephone_number": "404-254-5496",
            "fax_number": "404-254-5829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 PROFESSIONAL PL STE B",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742519",
            "telephone_number": "404-254-5496",
            "fax_number": "404-254-5829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4945 Governors Dr",
            "address_purpose": "LOCATION",
            "city": "Forest Park",
            "state": "GA",
            "postal_code": "302972134",
            "country_code": "US",
            "telephone_number": "404-254-5496",
            "fax_number": "404-254-5829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH ATLANTA MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NARROTTAM",
        "authorized_official_first_name": "TUSHAR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "404-867-3584"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "GA",
            "license": "20280",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "20280",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "20280",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "GA",
            "license": "20280",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "GA",
            "license": "20280",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "GA",
            "license": "20280",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "GA",
            "license": "61081",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "GA",
            "license": "20280",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila Eloise Smith, MEDICAL ASSISTANT
• Solace Gardens, LLC (SarahCare at Riverdale Place Adult Day Health Center)
• Sonar Clinical Research, LLC
• Sophia Waye Coley Coley DMD,PC (Clayton County Family Dentistry)
• Ayodeji Sotimehin
• South Atlanta Neurology and Diagnostics, P.C.
• South Atlanta Pediatrics
• South Atlanta Psychiatry LLC
• South Atlanta Pulmonary & Critical Care Associates
• South Atlanta Radiology Associates, P.C.

• Pain Medicine Physician in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Pain Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.