NPIMap

Organization Active NPI

Carehere LLC

  • Adult Medicine Physician
  • Lawrenceville, GA
National Provider Identifier
1023651205
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
CAREHERE LLC
Practice address
750 S Perry St Ste 200
Lawrenceville, GA 30046-4804
Phone
(877) 423-1330
NPI assigned
Oct 21, 2019
Last updated
Oct 21, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
CAREHERE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Authorized official

Name
Mr. Ernest Clevenger
Title
President
Phone
(615) 221-5901

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X NU Primary

Addresses

Primary practice location

750 S Perry St Ste 200
Lawrenceville, GA 30046-4804

Mailing address

5141 Virginia Way Ste 350
Brentwood, TN 37027-2319
Phone (615) 221-5901

National Provider Directory

National Provider Directory
Tax ID family
Carehere40 organizations share this tax ID, including this one
Part of
Carehere

Other organizations with this tax ID 39

Organizations that report the same tax identification number in the National Provider Directory.

View all 39

Locations

750 S Perry St
Ste 200
Lawrenceville, GA 30046
Phone (678) 377-4078

NPI Registry JSON

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571616000000",
    "number": "1023651205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5141 VIRGINIA WAY STE 350",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370272319",
            "telephone_number": "615-221-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 S PERRY ST STE 200",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464804",
            "telephone_number": "877-423-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREHERE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAREHERE LLC",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A",
        "authorized_official_last_name": "CLEVENGER",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-221-5901",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.