GRADY HEALTH SYSTEMS NPI 1689779753

NPI Information

NPI: 1689779753
Provider Name: GRADY HEALTH SYSTEMS
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
49 JESSE HILL JR DR SE
FOB, DIVISION OF GENERAL MEDICINE
ATLANTA, GA
ZIP 30303
Phone: (404) 686-1606
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GRADY HEALTH SYSTEMS is a primary care clinic center in Atlanta, GA. GRADY HEALTH SYSTEMS NPI is 1689779753. The provider is registered as an organization entity type.

The provider's business location address is:

49 JESSE HILL JR DR SE
FOB, DIVISION OF GENERAL MEDICINE
ATLANTA, GA
ZIP 30303-049
Phone: (404) 686-1606

The provider's authorized official is Ursula P. Whalen .
The authorized official title is Clinical Instructor and has the following contact phone number (404) 686-1606.

The enumeration date for this NPI number is 9/14/2006 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM2500X	Clinic/Center	Medical Specialty	54695	GEORGIA	No
2	261QU0200X	Clinic/Center	Urgent Care	54695	GEORGIA	No
3	282N00000X	General Acute Care Hospital		54695	GEORGIA	No
4	261QP2300X	Clinic/Center	Primary Care	54695	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	54695	OTHER	GEORGIA	MEDICAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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