Organization Active NPI

Rare Disease Research, LLC

  • Research Clinic/Center
  • Brookhaven, GA
National Provider Identifier
1942813381
Registry record updated Jul 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Research Clinic/CenterTaxonomy code 261QR1100X
Legal business name
RARE DISEASE RESEARCH, LLC
Practice address
1730 Northeast Expy NE
Brookhaven, GA 30329-2068
Phone
(404) 918-0380
NPI assigned
Aug 25, 2020
Organization subpart
Yes
Parent organization
RARE DISEASE RESEARCH, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 26, 2021

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

Authorized official

Name
Dr. Han Phan, MDNPI 1306954037
Title
Director
Phone
(404) 918-0380

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Research Clinic/Center 261QR1100X Primary

Addresses

Primary practice location

1730 Northeast Expy NE
Brookhaven, GA 30329-2068

Mailing address

1730 Northeast Expy NE
Brookhaven, GA 30329-2068
Phone (404) 918-0380

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2130156Rare Disease Research, LLC1730 Northeast Expressway, NE, Atlanta, GA 30329Certificate of waiverMay 2, 2027

National Provider Directory

National Provider Directory
Part of
Rare Disease Research LLC

Locations

1891 Howell Mill Rd NW
Ste B
Atlanta, GA 30318
Phone (678) 515-0688

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627257600000",
    "number": "1942813381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 NORTHEAST EXPY NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303292068",
            "telephone_number": "404-918-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 NORTHEAST EXPY NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303292068",
            "telephone_number": "404-918-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RARE DISEASE RESEARCH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RARE DISEASE RESEARCH, LLC",
        "enumeration_date": "2020-08-25",
        "last_updated": "2021-07-26",
        "certification_date": "2021-07-26",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "HAN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-918-0380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Research",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.