Superior Concierge Care,LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

SUPERIOR CONCIERGE CARE,LLC

Practice address

155 Westridge Pkwy Ste 110
McDonough, GA 30253-3050

Phone

(678) 251-9922

NPI assigned

Jan 17, 2021

Last updated

Jan 17, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Theresa Pugh, RNNPI 1942606496

Title

Owner/Administrator

Phone

(678) 251-9922

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Theresa Pugh, RN

  • General Practice Registered Nurse
  • McDonough, GA
  • NPI 1942606496
  NPD Authorized official

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

{
    "created_epoch": "1610841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610841600000",
    "number": "1033708763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 WESTRIDGE PKWY STE 110",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533050",
            "telephone_number": "678-251-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 WESTRIDGE PKWY STE 110",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533050",
            "telephone_number": "678-251-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR CONCIERGE CARE,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-17",
        "last_updated": "2021-01-17",
        "certification_date": "2021-01-16",
        "status": "A",
        "authorized_official_last_name": "PUGH",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "678-251-9922",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kevin Sullivan, MS, LAT, ATC
• Tiffany Lynn Sullivan, LPC
• Brittany C Sumpter, DPM
• Superior Healthcare Services, LLC
• Superior Private Homecare Agency
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• Paula Ann Sword, M.ED./ CCC-SLP

• Health Service Clinic/Center in McDonough, GA
• Providers in McDonough, GA by specialty
• Health Service Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.