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Contact Information

GRADY MEMORIAL HOSPITAL CORPORATION
80 JESSE HILL JR DR SE
BOX 26019
ATLANTA, GA30303-3031
 Phone: 404-616-8880
 Fax: 404-616-9076
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Obstetrics & Gynecology

207V00000X 16 Physician/Obstetrics & Gynecology
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for GRADY MEMORIAL HOSPITAL CORPORATION

NPI Number 1114243813
LBN Legal business name GRADY MEMORIAL HOSPITAL CORPORATION
Authorized official TIMOTHY JEFFERSON - (EXEC VP, GENERAL COUNSEL)
Entity Organization
Organization subpart 1 No
Enumeration date 04/20/2010
Last updated 01/21/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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