Organization
FULTON DEKALB HOSPITAL AUTHORITY
Active
Organization
FULTON DEKALB HOSPITAL AUTHORITY
Active
Other names
GRADY HEALTH SYSTEM
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID C MAKKERS SR. (DIRECTOR OF MANAGED CARE)
(404) 616-6695
Entity
Organization
Contact information
Practice address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3031
(404) 616-6695
(404) 616-3297
Mailing address
80 JESSE HILL JR DR SE, ATLANTA, GA 30303-3050
(404) 616-6695
(404) 616-3297
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
060069
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00410825A
—
GA
Enumeration date
07/19/2007
Last updated
06/09/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up