Active NPI
Grady Memorial Hospital
- Skilled Nursing Facility
- Atlanta, GA
National Provider Identifier
1942578398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- GRADY MEMORIAL HOSPITAL
- Practice address
- 80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031 - Phone
- (404) 616-8100
- NPI assigned
- Dec 13, 2011
- 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
- Mrs. Vivienne Paulette Parris
- Title
- Nurse Practitioner
- Phone
- (404) 616-8100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Mailing address
6319 Southland Trce
Stone Mountain, GA 30087-4971
Phone (678) 772-0057
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Nurse Practitioner
- Atlanta, GA
- NPI 1952674418
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1323734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323734400000",
"number": "1942578398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6319 SOUTHLAND TRCE",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300874971",
"telephone_number": "678-772-0057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "80 JESSE HILL JR DR SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303033031",
"telephone_number": "404-616-8100"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRADY MEMORIAL HOSPITAL",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-13",
"last_updated": "2011-12-13",
"status": "A",
"authorized_official_last_name": "PARRIS",
"authorized_official_first_name": "VIVIENNE",
"authorized_official_middle_name": "PAULETTE",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "404-616-8100",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
- Grady Health System
- Grady Health System
- Grady Health System
- Grady Health Systems
- Grady Hospital
- Grady Memorial Hospital Corporation
- Grady Memorial Hospital Corporation (Grady Infectious Disease Pharmacy)
- Grady Memorial Hospital Corporation (Grady Health System)
- Grady Memorial Hospital Corporation (Correll Cancer Center Pharmacy)
- Grady Memorial Hospital Corporation (Grady Lee and White Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.