OrganizationActive
Board of Regents of the University System of Georgia and on Behalf....
NPI 1245965813 · General Practice Physician · Atlanta, GA
Provider details
- NPI number
- 1245965813
- Entity type
- Organization
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Board of Regents of the University System of Georgia and on Behalf....
- Organization subpart
- Yes
- Authorized official
- Susan Whitmer, Medical Director(404) 413-1930
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
141 Piedmont Ave Ne Ste D
Atlanta, GA 30303-2417
Phone: (404) 413-1930
Fax: (404) 413-1955
Street-level locationGet directions
Mailing address
Po Box 3996
Atlanta, GA 30302-3996
Other names (DBA / former)
- Other name
- Student Health Clinic
Registry dates
- Enumerated
- 2022-07-19
- Last updated
- 2022-07-19
- Certified
- 2022-07-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.