NPI |
1518500628 |
The name prefix or salutation of the provider
if the provider is an individual; for example, Mr., Mrs., or Corporal. |
Entity Type Code |
2 |
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual
human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO). |
Employer Identification Number EIN |
|
The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified. |
Provider Organization Name Legal Business Name |
ATP SERVICES |
The code designating the provider’s gender if the provider is a person. |
Provider First Line Business Practice Location Address |
10 FRANKLINWOOD DR |
The telephone number associated with the location address of the provider being identified. |
Provider Business Practice Location Address City Name |
GREENSBORO |
The city name in the location address of the provider being identified. |
Provider Business Practice Location Address State Name |
NC |
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number. |
Provider Business Practice Location Address Postal Code |
274014795 |
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. |
Provider Business Practice Location Address Country Code If outside U S |
US |
The country code in the location address of the provider being identified. |
Provider Business Practice Location Address Telephone Number |
3366787778 |
The telephone number associated with the location address of the provider being identified. |
Provider Enumeration Date |
10/21/2019 |
The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date |
10/21/2019 |
The date that a record was last updated or changed. |
Authorized Official Last Name |
ALSTON |
The code designating the provider’s gender if the provider is a person. |
Authorized Official First Name |
TRACEY |
The first name of the authorized official. |
Authorized Official Title or Position |
MANAGING MEMBER |
The title or position of the authorized official. |
Authorized Official Telephone Number |
3368406647 |
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number. |
Healthcare Provider Taxonomy Code 1 |
343900000X |
|
Healthcare Provider Primary Taxonomy Switch 1 |
Y |
|
Is Organization Subpart |
N |
|