Active NPI
C J Medical Center, Professional Corporation
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Duluth, GA
National Provider Identifier
1922016187
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 029794
- Legal business name
- C J MEDICAL CENTER, PROFESSIONAL CORPORATION
- Practice address
- 3540 Duluth Park LN
Suite # 250
Duluth, GA 30096-6674 - Phone
- (770) 232-9525
- Fax
- (770) 232-9106
- NPI assigned
- Aug 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Thomas William Stammers, MD
- Title
- Ceo/Medical Director
- Phone
- (770) 232-9525
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 029794 | GA | Primary |
Addresses
Primary practice location
3540 Duluth Park LN
Suite # 250
Duluth, GA 30096-6674
Mailing address
3540 Duluth Park LN
Suite # 250
Duluth, GA 30096-6674
Phone (770) 232-9525
Other names 1
- Hanmi Medical Center, PC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1922016187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3540 DULUTH PARK LN",
"address_2": "SUITE # 250",
"city": "DULUTH",
"state": "GA",
"postal_code": "300966674",
"telephone_number": "770-232-9525",
"fax_number": "770-232-9106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3540 DULUTH PARK LN",
"address_2": "SUITE # 250",
"city": "DULUTH",
"state": "GA",
"postal_code": "300966674",
"telephone_number": "770-232-9525",
"fax_number": "770-232-9106"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "C J MEDICAL CENTER, PROFESSIONAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-04",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "STAMMERS",
"authorized_official_first_name": "THOMAS",
"authorized_official_middle_name": "WILLIAM",
"authorized_official_title_or_position": "CEO/MEDICAL DIRECTOR",
"authorized_official_telephone_number": "770-232-9525",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "GA",
"license": "029794",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Hanmi Medical Center, PC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Duluth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.