NPIMap

Organization Active NPI

Atlanta Medical Center, Inc.

Doing business as Atlanta Medical Center- South Campus

  • Rehabilitation Hospital Unit
  • East Point, GA
National Provider Identifier
1912922485
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
License
060-598 Issued in GA
Legal business name
ATLANTA MEDICAL CENTER, INC.
Doing business as
Atlanta Medical Center- South Campus
Practice address
1170 Cleveland Ave
East Point, GA 30344-3615
Phone
(404) 466-1170
NPI assigned
Jul 13, 2006
Last updated
Mar 24, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
ATLANTA MEDICAL CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Authorized official

Name
Mr. William T. Moore
Title
Ceo
Phone
(404) 256-4000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X 060-598 GA Primary

Addresses

Primary practice location

1170 Cleveland Ave
East Point, GA 30344-3615

Mailing address

PO Box 532525
Atlanta, GA 30353-2525
Phone (678) 242-2202

Other names 1

  • Atlanta Medical Center- South Campus Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tenet Health System GB Inc16 organizations share this tax ID, including this one
Part of
Tenet Health System GB Inc

Other organizations with this tax ID 15

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

View all 15

Locations

3886 Princeton Lakes Way SW
Ste 120
Atlanta, GA 30331
Phone (302) 401-9193

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1912922485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 532525",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303532525",
            "telephone_number": "678-242-2202",
            "fax_number": "678-242-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 CLEVELAND AVE",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303443615",
            "telephone_number": "404-466-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA MEDICAL CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ATLANTA MEDICAL CENTER, INC.",
        "enumeration_date": "2006-07-13",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-256-4000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "GA",
            "license": "060-598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Atlanta Medical Center- South Campus",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Atlanta Medical Center- South Campus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Point, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.