Atlanta Medical Center
Debarred entityUnited States. Named in 7 sanctions listings.
Summary
License number: PROMISe# 102520497
CLINIC
OTHER BUSINESS
Sanctions and listings7
- Effective
- 9 Nov 2016
Official designation
Georgia Department of Community HealthUS Georgia Healthcare provider exclusionsUnited States
- Effective
- 30 Sep 2016
List of Excluded Individuals/Entities (LEIE)
Department of Health and Human Services Office of Inspector GeneralUS Health and Human Services Inspector General ExclusionsUnited States
1128a1
Programme US-HHS-OIGoig.hhs.govoig.hhs.gov
- Effective
- 8 Aug 2017
Official designation
Pennsylvania Department of Human servicesUS Delaware Medicaid Sanctioned ProvidersUnited States
TERMINATION Terminated- Reporting Only- Terminated Provider agreement by Pennsylvania; MANAGED CARE REPORTING ONLY - ACTIVE
- Effective
- 30 Sep 2016
Official designation
Iowa Health & Human ServicesUS Iowa Medicaid Terminated Provider ListUnited States
Sanction end as published: Indefinite
Termination
441 IAC 79.2(2)(n)
- Listed
- 21 Aug 2017
- Effective
- 30 Sep 2016
Reciprocal
HHSUS SAM Procurement ExclusionsUnited StatesActive
Prohibition/Restriction
Excluded by the Department of Health and Human Services pursuant to section 1128 or other sections of the Social Security Act from participation in all Federal health care programs (the scope and effect of Federal health care program exclusions is described in 42 C.F.R. section 1001.1901).
- Listed
- 21 Dec 2017
- Effective
- 30 Nov 2017
- Effective
- 30 Sep 2016
Official designation
Department of Human ServicesUS Pennsylvania Medicheck listUnited StatesPrecluded
Identifiers2
| Identifier | Number |
|---|---|
| NPI number | 1598795585 |
| Tax number | 582329008 |
Other names2
Also known as2
Addresses3
(GA), (GA)
303 PARKWAY DR NE, ATLANTA, GA 30312
303 PARKWAY DRIVE, NE, ATLANTA, GA 30312
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