NPIMap

Organization Active NPI

By Your Side Georgia, LLC

Doing business as By Your Side

  • Behavior Analyst
  • Norcross, GA
National Provider Identifier
1003469420
Registry record updated Nov 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
BY YOUR SIDE GEORGIA, LLC
Doing business as
By Your Side
Practice address
3070 Business Park Dr Ste B
Norcross, GA 30071-1428
Phone
(770) 884-1050
Fax
(770) 884-1051
NPI assigned
Jul 24, 2019
Organization subpart
Yes
Parent organization
BY YOUR SIDE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 23, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Matthew Sullivan
Title
Cfo
Phone
(770) 884-1050

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

3070 Business Park Dr Ste B
Norcross, GA 30071-1428

Mailing address

3070 Business Park Dr Ste B
Norcross, GA 30071-1428
Phone (770) 884-1050

Other names 1

  • BY YOUR SIDE Doing business as

National Provider Directory

National Provider Directory
Part of
By Your Side LLC

Locations

3070 Business Park Dr
Ste B
Norcross, GA 30071
Phone (770) 884-1050

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606089600000",
    "number": "1003469420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 BUSINESS PARK DR STE B",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711428",
            "telephone_number": "770-884-1050",
            "fax_number": "770-884-1051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 BUSINESS PARK DR STE B",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711428",
            "telephone_number": "770-884-1050",
            "fax_number": "770-884-1051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BY YOUR SIDE GEORGIA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BY YOUR SIDE LLC",
        "enumeration_date": "2019-07-24",
        "last_updated": "2020-11-23",
        "certification_date": "2020-11-23",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "770-884-1050"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BY YOUR SIDE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "BY YOUR SIDE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.