H.O.P.E. Clinical Research & Wellness

Primary specialty

Clinical Nurse SpecialistTaxonomy code 364S00000X

Legal business name

H.O.P.E. CLINICAL RESEARCH & WELLNESS

Practice address

992 E Freeway Dr SE Ste B
Conyers, GA 30094-5916

Phone

(770) 679-5591

Fax

(770) 679-5633

NPI assigned

Jun 14, 2021

Organization subpart

No

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

Authorized official

Name

Boncille Mattox, MSN, BSN, RN

Title

Chief of Marketing/CRC

Phone

(770) 679-5591

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1623628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623628800000",
    "number": "1003484403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "992 E FREEWAY DR SE STE B",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945916",
            "telephone_number": "770-679-5591",
            "fax_number": "770-679-5633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "992 E FREEWAY DR SE STE B",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945916",
            "telephone_number": "770-679-5591",
            "fax_number": "770-679-5633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H.O.P.E. CLINICAL RESEARCH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A",
        "authorized_official_last_name": "MATTOX",
        "authorized_official_first_name": "BONCILLE",
        "authorized_official_title_or_position": "CHIEF OF MARKETING/CRC",
        "authorized_official_telephone_number": "770-679-5591",
        "authorized_official_credential": "MSN, BSN, RN"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Conyers",
            "affiliation": "N",
            "address_1": "992 E Freeway Dr SE Ste B",
            "city": "Conyers",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300945916",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinical Nurse Specialist in Conyers, GA
• Providers in Conyers, GA by specialty
• Clinical Nurse Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2021; 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.