NPIMap

Organization Active NPI

Georgia Health Clinics, LLC

  • Medical Specialty Clinic/Center
  • Roswell, GA
National Provider Identifier
1982288536
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
GEORGIA HEALTH CLINICS, LLC
Practice address
11040 Crabapple Rd Ste a
Roswell, GA 30075-2457
Phone
(678) 522-6315
NPI assigned
May 10, 2021
Last updated
Aug 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Authorized official

Name
Greg Pridgen
Title
Authorized Official
Phone
(678) 203-1323

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

11040 Crabapple Rd Ste a
Roswell, GA 30075-2457

Mailing address

11040 Crabapple Rd Ste a
Roswell, GA 30075-2457
Phone (678) 522-6315

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1982288536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11040 CRABAPPLE RD STE A",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752457",
            "telephone_number": "678-522-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11040 CRABAPPLE RD STE A",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300752457",
            "telephone_number": "678-522-6315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA HEALTH CLINICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "PRIDGEN",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "678-203-1323"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2021; 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.