Healthcare Provider Details

I. General information

NPI: 1679664395
Provider Name (Legal Business Name): SAINT JOSEPHS HOSPITAL OF ATLANTA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/27/2006
Last Update Date: 07/16/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5665 PEACHTREE DUNWOODY RD NE
ATLANTA GA
30342-1764
US

IV. Provider business mailing address

5665 PEACHTREE DUNWOODY RD NE
ATLANTA GA
30342-1764
US

V. Phone/Fax

Practice location:
  • Phone: 404-851-5706
  • Fax: 404-851-7339
Mailing address:
  • Phone: 404-851-7000
  • Fax: 404-851-7339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number060159
License Number StateGA

VIII. Authorized Official

Name: KEVIN ANDREWS
Title or Position: COO
Credential:
Phone: 404-805-2293