Organization Active NPI

Berkeley Medical and Rehab Center

  • Family Medicine Physician
  • Norcross, GA
National Provider Identifier
1992980338
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
BERKELEY MEDICAL AND REHAB CENTER
Practice address
4711 Peachtree Industrial Blvd Ste B
Norcross, GA 30092-3023
Phone
(770) 416-8180
Fax
(770) 416-8181
NPI assigned
Jan 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Ali Hakami, DC
Title
Owner
Phone
(770) 416-8180

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

4711 Peachtree Industrial Blvd Ste B
Norcross, GA 30092-3023

Mailing address

4711 Peachtree Industrial Blvd Ste B
Norcross, GA 30092-3023
Phone (770) 416-8180

National Provider Directory

National Provider Directory

Locations

4711 Peachtree Industrial Blvd
Ste B
Berkeley Lake, GA 30092
Phone (770) 416-8180

NPI Registry JSON

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1992980338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4711 PEACHTREE INDUSTRIAL BLVD STE B",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300923023",
            "telephone_number": "770-416-8180",
            "fax_number": "770-416-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4711 PEACHTREE INDUSTRIAL BLVD STE B",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300923023",
            "telephone_number": "770-416-8180",
            "fax_number": "770-416-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKELEY MEDICAL AND REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "HAKAMI",
        "authorized_official_first_name": "ALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-416-8180",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.