NPIMap

Organization Active NPI

American Professional Associates LLC

  • Radiation Oncology Physician
  • Alpharetta, GA
National Provider Identifier
1922012210
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
AMERICAN PROFESSIONAL ASSOCIATES LLC
Practice address
3330 Preston Ridge Rd Ste 300
Alpharetta, GA 30005-4509
Phone
(770) 350-0126
Fax
(770) 512-8937
NPI assigned
Jul 29, 2006
Last updated
Aug 23, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Authorized official

Name
Carmen Simens
Title
Revenue Cycle Manager
Phone
(770) 255-7440

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Clinic/Center 261QX0203X
Radiation Oncology Physician 2085R0001X Primary
Urology Physician 208800000X

Addresses

Primary practice location

3330 Preston Ridge Rd Ste 300
Alpharetta, GA 30005-4509

Mailing address

PO Box 745766
Atlanta, GA 30374-5766
Phone (770) 350-0126

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070110000092 GA Part B Supplier - Clinic/Group Practice 9830199157 Receives reassigned benefits from 20 practitioners
1 other NPI on this enrollment
Practice locations: Marietta, GA; Macon, GA; Lithonia, GA; Lawrenceville, GA; Hawkinsville, GA; Greensboro, GA; Dublin, GA; East Point, GA…

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1922012210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 745766",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303745766",
            "telephone_number": "770-350-0126",
            "fax_number": "770-515-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 PRESTON RIDGE RD STE 300",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300054509",
            "telephone_number": "770-350-0126",
            "fax_number": "770-512-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN PROFESSIONAL ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-29",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "SIMENS",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "770-255-7440"
    },
    "taxonomies": [
        {
            "code": "261QX0203X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology, Radiation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.