# ATLANTA MEDICAL CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Atlanta Medical Center- South Campus
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598781635
- **Authorized official:** MR. WILLIAM T. MOORE (CEO)
- **Authorized official phone:** (404) 256-4000

## Contact information

- **Practice address:** 1170 CLEVELAND AVE, EAST POINT, GA 30344-3615
- **Practice address phone:** (404) 466-1170
- **Mailing address:** PO BOX 741252, ATLANTA, GA 30374-1252
- **Mailing address phone:** (678) 242-2002
- **Mailing address fax:** (678) 242-2202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 060-598 | GA | Yes |
| 341600000X | Ambulance | — | — | — |

## Other

- **Enumeration date:** 07/14/2006
- **Last updated:** 03/24/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00382509 | — | NY |
| 05 | — | 0542792 | — | OH |
| 05 | — | 08500709 | — | MS |
| 01 | — | 100054 | BCBS OF GEORGIA | — |
| 01 | — | 109906 | COVENTRY HEALTH CARE GEOR | — |
| 01 | — | 110219B000000 | SECTION 1011 | — |
| 05 | — | 1708445 | — | LA |
| 01 | — | 181713800 | VISTA HEALTH PLAN HMO/POS | — |
| 05 | — | 300042914A | — | GA |
| 01 | — | 75-2918809 | TENET EMPLOYEES BENEFIT P | — |
| 01 | — | 979062670 | AETNA US HEALTHCARE (NATI | — |