NPIMap

Organization Active NPI

Emory Healthcare

  • Oncology Clinic/Center
  • Atlanta, GA
National Provider Identifier
1992164495
Registry record updated Mar 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Clinic/CenterTaxonomy code 261QX0200X
License
RN240539 Issued in GA
Legal business name
EMORY HEALTHCARE
Practice address
791 Wylie St SE
102
Atlanta, GA 30316-7200
Phone
(404) 788-4396
NPI assigned
Feb 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2016

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

Authorized official

Name
Greta Russler, FNP-BC
Title
Nurse Practitioner
Phone
(404) 788-4396

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Clinic/Center 261QX0200X RN240539 GA Primary

Addresses

Primary practice location

791 Wylie St SE
102
Atlanta, GA 30316-7200

Mailing address

791 Wylie St SE
102
Atlanta, GA 30316-7200
Phone (404) 788-4396

National Provider Directory

National Provider Directory

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": "1455235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1992164495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "791 WYLIE ST SE",
            "address_2": "102",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303167200",
            "telephone_number": "404-788-4396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "791 WYLIE ST SE",
            "address_2": "102",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303167200",
            "telephone_number": "404-788-4396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMORY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-12",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "RUSSLER",
        "authorized_official_first_name": "GRETA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "404-788-4396",
        "authorized_official_credential": "FNP-BC"
    },
    "taxonomies": [
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": "GA",
            "license": "RN240539",
            "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 Mar 14, 2016; 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.