Centennial Professional Therapy Services Corporation

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

License

113146 Issued in GA

Legal business name

CENTENNIAL PROFESSIONAL THERAPY SERVICES CORPORATION

Practice address

303 Perimeter Ctr N
Suite 510
Atlanta, GA 30346-3402

Phone

(770) 379-1035

Fax

(770) 234-5172

NPI assigned

Jun 2, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Nancy Nurnberg

Title

Director

Phone

(770) 379-1035

Specialties & licenses 1

Addresses

Other identifiers 13

Locations

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269475200000",
    "number": "1013955194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 PERIMETER CTR N",
            "address_2": "SUITE 510",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303463402",
            "telephone_number": "770-379-1035",
            "fax_number": "770-234-5172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 PERIMETER CTR N",
            "address_2": "SUITE 510",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303463402",
            "telephone_number": "770-379-1035",
            "fax_number": "770-234-5172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTENNIAL PROFESSIONAL THERAPY SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2010-03-25",
        "status": "A",
        "authorized_official_last_name": "NURNBERG",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "770-379-1035",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "GA",
            "license": "113146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5603429",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1960161",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200124240A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90274069",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "134440716",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "972405883A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "032746100",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "076048001",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002106200",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00440076",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7701861",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3563038",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T4208",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele Cellai, DNP
• Janet S Cellar, N.P.
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• Mewoodjie Cenat-Petion, RN
• Vincent John Cendan, MD
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• Parenteral & Enteral Nutrition Supplies (DME) in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; 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.