MEDICARE: ATLANTA MEDICAL CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	026967	GA
2	207R00000X	Internal Medicine Physician	54376	GA

General Provider Information

NPI Number	:	1154436921
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATLANTA MEDICAL CARE

Provider Business Mailing Address
First Line	:	5526 OLD NATIONAL HWY
Second Line	:	BLDG. J
City	:	ATLANTA
State	:	GA
Zip	:	30349-3249
Country	:	US
Telephone Number	:	404-766-6001
Fax Number	:	678-904-2769

Provider Business Practice Location Address
First Line	:	5526 OLD NATIONAL HWY
Second Line	:	BLDG. J
City	:	ATLANTA
State	:	GA
Zip	:	30349-3249
Country	:	US
Telephone Number	:	404-766-6001
Fax Number	:	678-904-2769

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. CHUKWUDI BATO AMU
Credential	:	M.D.
Telephone Number	:	404-766-6001

Provider Enumeration Date	:	08/20/2006
Last Update Date	:	09/11/2025

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Directions to “ATLANTA MEDICAL CARE ” Practice Location

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