DUNWOODY PROFESSIONAL MEDICAL INC – NPI #1902064595
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).

DUNWOODY PROFESSIONAL MEDICAL INC is an AHC clinic located in DUNWOODY, GA. NPPES has assigned the NPI number 1902064595 to DUNWOODY PROFESSIONAL MEDICAL INC on May 30, 2008. 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 17 years ago on Dec 08, 2009. 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 DUNWOODY PROFESSIONAL MEDICAL INC below.

NPI Profile for
DUNWOODY PROFESSIONAL MEDICAL INC

NPI Number
1902064595
Enumeration Date

(more than 18 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
DUNWOODY PROFESSIONAL MEDICAL INC
Primary location
4480 N SHALLOWFORD RD
DUNWOODY, GA 30338-6410
Phone: (770) 455-8285 Fax: (770) 350-8973
Mailing address
2803 PRIESTCLIFF DR
SMYRNA, GA 30080-2195
Phone: (770) 455-8285 Fax: (770) 350-8973
Organization Subpart
No
Authorized Official
MOINUDDIN KAZI
CEO
Phone: (770) 455-8285
Updated
Identifiers

Identifiers for DUNWOODY PROFESSIONAL MEDICAL INC

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
MEDICAIDGA000776432E
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)
GA 042868

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.