NPI Code Detail JSON Logo

1780542043 NPI number — PHYSICIANS SERVICES GROUP OF GEORGIA, P.C.

NPI Number: 1780542043
Health Care Provider/Practitioner: PHYSICIANS SERVICES GROUP OF GEORGIA, P.C.

Information about “1780542043” NPI (PHYSICIANS SERVICES GROUP OF GEORGIA, P.C.) exists in 1780542043 in HTML format HTML  |  1780542043 in plain Text format TXT  |  1780542043 in PDF (Portable Document Format) PDF  |  1780542043 in an XML format XML  formats.

NPI Number : 1780542043 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1780542043",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "PHYSICIANS SERVICES GROUP OF GEORGIA, P.C.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "5555 GLENRIDGE CONNECTOR STE 930",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "ATLANTA",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "30342-4728",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "5555 GLENRIDGE CONNECTOR STE 930",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "ATLANTA",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "30342-4728",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "864-316-8984",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "01/14/2026",
    "LastUpdateDate": "01/14/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "NEWLANDS",
    "AuthorizedOfficialFirstName": "FRANK",
    "AuthorizedOfficialMiddleName": "J",
    "AuthorizedOfficialTitle": "CHIEF EXECUTIVE OFFICER & PRESIDENT",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "864-316-8984",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QM1300X",
        "TaxonomyName": "Multi-Specialty Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.