Organization Active NPI

Complete Medical Healthcare, Corporation

  • Specialist
  • Decatur, GA
National Provider Identifier
1972935781
Registry record updated Apr 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
COMPLETE MEDICAL HEALTHCARE, CORPORATION
Practice address
4153 Flat Shoals Parkway
Building a Suite.102
Decatur, GA 30034-4106
Phone
(404) 241-7062
Fax
(404) 243-0357
NPI assigned
Aug 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2017

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

Authorized official

Name
Frederick A Warren
Title
Ceo
Phone
(770) 365-0043

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X GA Primary

Addresses

Primary practice location

4153 Flat Shoals Parkway
Building a Suite.102
Decatur, GA 30034-4106

Mailing address

4153 Flat Shoals Parkway
Building a Suite.102
Decatur, GA 30034-4106
Phone (404) 241-7062

National Provider Directory

National Provider Directory

Locations

4153A Flat Shoals Pkwy
Ste 102
Decatur, GA 30034

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/80f02a57-2bb0-4823-b4e1-a80c1fe53bb1/

Practitioners & affiliated clinicians

Practitioners 3

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": "1375401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492128000000",
    "number": "1972935781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4153 FLAT SHOALS PARKWAY",
            "address_2": "BUILDING A SUITE.102",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300344106",
            "telephone_number": "404-241-7062",
            "fax_number": "404-243-0357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4153 FLAT SHOALS PARKWAY",
            "address_2": "BUILDING A SUITE.102",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300344106",
            "telephone_number": "404-241-7062",
            "fax_number": "404-243-0357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE MEDICAL HEALTHCARE, CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-02",
        "last_updated": "2017-04-14",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-365-0043"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.