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 | 171M00000X | Case Manager/Care Coordinator | | | GEORGIA | No |
2 | 251K00000X | Public Health or Welfare | | | | No |
3 | 251S00000X | Community/Behavioral Health | | | | No |
4 | 251T00000X | Program of All-Inclusive Care for the Elderly (PACE) Provider Organization | | | | No |
5 | 251B00000X | Case Management | | | | Yes |