Active NPI
Berkeley Medical and Rehab Center
- Family Medicine Physician
- Norcross, GA
National Provider Identifier
1992980338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryLocations
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.