ATLANTA HEALTH CENTER P.C. NPI 1063110328

NPI Information

  • NPI: 1063110328
  • Provider Name: ATLANTA HEALTH CENTER P.C.
  • Classification: Clinic/Center - 261QP3300X
  • Specialization: Pain
  • Entity Type: Organization
  • CLIA Number: 11D2298343
  • Address: 4905 LAVISTA RD STE B
    TUCKER, GA
    ZIP 30084
  • Phone: (770) 680-5740

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NPI Details

ATLANTA HEALTH CENTER P.C. is a pain clinic center in Tucker, GA. ATLANTA HEALTH CENTER P.C. NPI is 1063110328. The provider is registered as an organization entity type.

The provider's business location address is:

4905 LAVISTA RD STE B
TUCKER, GA
ZIP 30084-409
Phone: (770) 680-5740
Fax: (888) 418-8738

The provider's authorized official is Ohad Kott .
The authorized official title is Owner and has the following contact phone number (770) 680-5740.

The CLIA number assigned to this NPI record is 11D2298343 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/16/2023 and was last updated on 5/23/2023.

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
1261QP3300XClinic/CenterPainYes

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: 3/30/2025

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