GEORGIA ACT AND HEALTHCARE SERVICES INC. NPI 1295277028

NPI Information

NPI: 1295277028
Provider Name: GEORGIA ACT AND HEALTHCARE SERVICES INC.
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

CLIA Number: 11D2121527

Address:
2049 METROPOLITAN PKWY SW
ATLANTA, GA
ZIP 30315
Phone: (770) 329-7339
Get Directions

GEORGIA ACT AND HEALTHCARE SERVICES INC. is a family nurse practitioner in Atlanta, GA. GEORGIA ACT AND HEALTHCARE SERVICES INC. NPI is 1295277028. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2049 METROPOLITAN PKWY SW
ATLANTA, GA
ZIP 30315-926
Phone: (770) 329-7339

The provider's authorized official is Ngozi Orabueze .
The authorized official title is Ceo/np-c and has the following contact phone number (770) 329-7339.

The CLIA number assigned to this NPI record is 11D2121527 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/10/2016 and was last updated on 11/14/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	204864	GEORGIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	003169414A	MEDICAID	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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