NPIMap

Organization Active NPI

Compbenefits Insurance Company

  • Preferred Provider Organization
  • Roswell, GA
National Provider Identifier
1013064039
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
Legal business name
COMPBENEFITS INSURANCE COMPANY
Practice address
100 Mansell CT E
Suite 400
Roswell, GA 30076-8847
Phone
(770) 998-8936
Fax
(770) 992-4349
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Bruce A Mitchell
Title
Evp and General Counsel
Phone
(770) 998-8936

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X FL Primary

Addresses

Primary practice location

100 Mansell CT E
Suite 400
Roswell, GA 30076-8847

Mailing address

100 Mansell CT E
Suite 400
Roswell, GA 30076-8847
Phone (770) 998-8936

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013064039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MANSELL CT E",
            "address_2": "SUITE 400",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300768847",
            "telephone_number": "770-998-8936",
            "fax_number": "770-992-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MANSELL CT E",
            "address_2": "SUITE 400",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300768847",
            "telephone_number": "770-998-8936",
            "fax_number": "770-992-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPBENEFITS INSURANCE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EVP AND GENERAL COUNSEL",
        "authorized_official_telephone_number": "770-998-8936",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.