ATLANTIC SOUTH MEDICAL GROUP INCORPORATED – NPI #1114275427
Clinic/Center

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Health Care Provider Taxonomy Code for Clinic/Center

ATLANTIC SOUTH MEDICAL GROUP INCORPORATED is an AHC clinic located in AVENTURA, FL. NPPES has assigned the NPI number 1114275427 to ATLANTIC SOUTH MEDICAL GROUP INCORPORATED on August 16, 2012. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261Q00000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center.

The NPI profile was previously updated about 11 years ago on Mar 23, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ATLANTIC SOUTH MEDICAL GROUP INCORPORATED below.

NPI Profile for
ATLANTIC SOUTH MEDICAL GROUP INCORPORATED

NPI Number
1114275427
Enumeration Date

(about 14 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ATLANTIC SOUTH MEDICAL GROUP INCORPORATED
Primary location
2925 AVENTURA BLVD
SUITE 101
AVENTURA, FL 33180-3124
Phone: (305) 931-7424 Fax: (305) 931-7425
Mailing address
PO BOX 909
HALLANDALE, FL 33008-0909
Phone: (305) 931-7424 Fax: (305) 931-7425
Organization Subpart
No
Authorized Official
VOLRICK MORRISON
PHYSICIAN
Phone: (305) 931-7424
Updated
Identifiers

Identifiers for ATLANTIC SOUTH MEDICAL GROUP INCORPORATED

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDFL007960400
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261Q00000X
- Clinic/Center (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.