Organization Active NPI

Atlanta Family Healthcare, LLC

  • Family Medicine Physician
  • Decatur, GA
National Provider Identifier
1922295609
Registry record updated Oct 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ATLANTA FAMILY HEALTHCARE, LLC
Practice address
1336 Columbia Dr
Suite a
Decatur, GA 30032-2851
Phone
(404) 284-2273
Fax
(404) 284-2230
NPI assigned
Sep 26, 2007
Last updated
Oct 8, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2007

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

Authorized official

Name
Mr. Miguel Hernandez
Title
Manager
Phone
(404) 284-2273

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1336 Columbia Dr
Suite a
Decatur, GA 30032-2851

Mailing address

1336 Columbia Dr
Suite a
Decatur, GA 30032-2851
Phone (404) 284-2273

National Provider Directory

National Provider Directory

Locations

1336 Columbia Dr
Ste A
Decatur, GA 30032
Phone (404) 284-2273

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191801600000",
    "number": "1922295609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 COLUMBIA DR",
            "address_2": "SUITE A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300322851",
            "telephone_number": "404-284-2273",
            "fax_number": "404-284-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 COLUMBIA DR",
            "address_2": "SUITE A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300322851",
            "telephone_number": "404-284-2273",
            "fax_number": "404-284-2230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA FAMILY HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-26",
        "last_updated": "2007-10-08",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "404-284-2273",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2007; 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.