Active NPI
National Healthcare Center LLC
- Internal Medicine Physician
- Stockbridge, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 37708
- Legal business name
- NATIONAL HEALTHCARE CENTER LLC
- Practice address
- 135 Eagles Walk Ste 100
Stockbridge, GA 30281-7205 - Phone
- (770) 318-0476
- NPI assigned
- Apr 8, 2016
- 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
- Averil Johnson
- Title
- Manager
- Phone
- (770) 318-0476
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | |||
| Family Medicine Physician | 207Q00000X | 38817 | GA | |
| Internal Medicine Physician | 207R00000X | 37708 | GA | Primary |
Addresses
Primary practice location
135 Eagles Walk Ste 100
Stockbridge, GA 30281-7205
Mailing address
950 Herrington Rd Ste C64
Lawrenceville, GA 30044-7217
Phone (770) 318-0476
Other practice location 1
759 Martin Luther King Jr Dr NW Ste 300
Atlanta, GA 30314-4193
Phone (770) 318-0476
National Provider Directory
National Provider DirectoryLocations
759 Martin Luther King Jr Dr NW
Ste 300
Atlanta, GA 30314
Phone (770) 318-0476
759 Mlk Jr Dr NW
Atlanta, GA 30314
Phone (404) 588-0464
950 Herrington Rd
Ste C64
Lawrenceville, GA 30044
3001 S Cobb Dr SE
Ste 207
Smyrna, GA 30080
280 Corporate Center Dr
Ste B
Stockbridge, GA 30281
135 Eagles Walk
Ste 100
Stockbridge, GA 30281
Phone (470) 726-4147
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Jonesboro, GA
- NPI 1447757273
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1579132800000",
"number": "1932563640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 HERRINGTON RD STE C64",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300447217",
"telephone_number": "770-318-0476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 EAGLES WALK STE 100",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302817205",
"telephone_number": "770-318-0476"
}
],
"practiceLocations": [
{
"address_1": "759 Martin Luther King Jr Dr NW Ste 300",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303144193",
"country_code": "US",
"telephone_number": "770-318-0476",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NATIONAL HEALTHCARE CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-04-08",
"last_updated": "2020-01-16",
"certification_date": "2020-01-16",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "AVERIL",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "770-318-0476"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "GA",
"license": "38817",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "GA",
"license": "37708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.