Provider Demographics
NPI:1295108652
Name:MEDSTOP , LLC
Entity type:Organization
Organization Name:MEDSTOP , LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:
Authorized Official - Last Name:SALINAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-992-9130
Mailing Address - Street 1:6063 PEACHTREE PKWY
Mailing Address - Street 2:SUITE 201 A
Mailing Address - City:PEACHTREE CORNERS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-3303
Mailing Address - Country:US
Mailing Address - Phone:404-992-9130
Mailing Address - Fax:678-969-9919
Practice Address - Street 1:6063 PEACHTREE PKWY
Practice Address - Street 2:SUITE 201 A
Practice Address - City:PEACHTREE CORNERS
Practice Address - State:GA
Practice Address - Zip Code:30092-3303
Practice Address - Country:US
Practice Address - Phone:404-992-9130
Practice Address - Fax:678-969-9919
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-07
Last Update Date:2015-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA038600261QA0005X, 261QA1903X, 261QC1500X, 261QH0100X, 261QU0200X
261QC1800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No261QA0005XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Family Planning Facility
No261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
No261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
No261QC1800XAmbulatory Health Care FacilitiesClinic/CenterCorporate Health
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service