NPIMap

Organization Active NPI

Atlanta Luxury Medicine and Aesthetics

  • Internal Medicine Physician
  • Atlanta, GA
National Provider Identifier
1912299181
Registry record updated May 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
55463 Issued in GA
Legal business name
ATLANTA LUXURY MEDICINE AND AESTHETICS
Practice address
191 Peachtree St
Suite 3300
Atlanta, GA 30303-1740
Phone
(404) 946-1815
NPI assigned
May 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2011

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

Authorized official

Name
Rickey Washington, MD
Title
Owner
Phone
(404) 664-7547

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 55463 GA Primary

Addresses

Primary practice location

191 Peachtree St
Suite 3300
Atlanta, GA 30303-1740

Mailing address

2880 Montview Dr SW
Marietta, GA 30060-5152
Phone (404) 664-7547

National Provider Directory

National Provider Directory

Locations

191 Peachtree St NE
Ste 3300
Atlanta, GA 30303
Phone (404) 946-1815

NPI Registry JSON

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

{
    "created_epoch": "1304640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304640000000",
    "number": "1912299181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2880 MONTVIEW DR SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300605152",
            "telephone_number": "404-664-7547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 PEACHTREE ST",
            "address_2": "SUITE 3300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303031740",
            "telephone_number": "404-946-1815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA LUXURY MEDICINE AND AESTHETICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-06",
        "last_updated": "2011-05-06",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "RICKEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-664-7547",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "55463",
            "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 May 6, 2011; 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.