LPP of Georgia LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

LPP OF GEORGIA LLC

Doing business as

RIVERDALE EMERGENCY PHYSICIANS

Practice address

11 Upper Riverdale Rd SW
Riverdale, GA 30274-2615

Phone

(770) 991-8000

NPI assigned

Aug 15, 2017

Organization subpart

Yes

Parent organization

LEGACY PHYSICIAN PARTNERS LLCAs reported in NPPES

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

Authorized official

Name

Christopher Kelly

Title

Ceo

Phone

(615) 554-6885

Specialties & licenses 1

Addresses

Other names 1

• RIVERDALE EMERGENCY PHYSICIANS Doing business as

Locations

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

{
    "created_epoch": "1502755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502841600000",
    "number": "1932625548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5214 MARYLAND WAY STE 404",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275071",
            "telephone_number": "615-615-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 UPPER RIVERDALE RD SW",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302742615",
            "telephone_number": "770-991-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LPP OF GEORGIA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LEGACY PHYSICIAN PARTNERS LLC",
        "enumeration_date": "2017-08-15",
        "last_updated": "2017-08-16",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "615-554-6885"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIVERDALE EMERGENCY PHYSICIANS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RIVERDALE EMERGENCY PHYSICIANS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Emergency Medicine Physician in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Emergency Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2017; 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.