Organization Active NPI

Cheshire Bridge GYN

  • Ambulatory Family Planning Facility
  • Atlanta, GA
National Provider Identifier
1962740001
Registry record updated Jan 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Family Planning FacilityTaxonomy code 261QA0005X
License
23086 Issued in GA
Legal business name
CHESHIRE BRIDGE GYN
Practice address
1874 Piedmont Rd NE
Suite 580 E
Atlanta, GA 30324-4869
Phone
(404) 602-4495
Fax
(404) 607-0728
NPI assigned
Jan 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2013

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

Authorized official

Name
Tyrone C Malloy, MD
Title
Owner
Phone
(404) 892-3239

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 23086 GA
Ambulatory Family Planning Facility 261QA0005X 23086 GA Primary

Addresses

Primary practice location

1874 Piedmont Rd NE
Suite 580 E
Atlanta, GA 30324-4869

Mailing address

1874 Piedmont Rd NE
Suite 580 E
Atlanta, GA 30324-4869
Phone (404) 602-4495

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1358985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358985600000",
    "number": "1962740001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1874 PIEDMONT RD NE",
            "address_2": "SUITE 580 E",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303244869",
            "telephone_number": "404-602-4495",
            "fax_number": "404-607-0728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1874 PIEDMONT RD NE",
            "address_2": "SUITE 580 E",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303244869",
            "telephone_number": "404-602-4495",
            "fax_number": "404-607-0728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESHIRE BRIDGE GYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-24",
        "last_updated": "2013-01-24",
        "status": "A",
        "authorized_official_last_name": "MALLOY",
        "authorized_official_first_name": "TYRONE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-892-3239",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "23086",
            "primary": false
        },
        {
            "code": "261QA0005X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Family Planning Facility",
            "state": "GA",
            "license": "23086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2013; 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.