Active NPI
The Rouse Foundation, Inc
- Family Medicine Physician
- Carrollton, GA
National Provider Identifier
1033806435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- THE ROUSE FOUNDATION, INC
- Practice address
- 158 Newnan Road
Carrollton, GA 30117 - Phone
- (770) 328-5458
- NPI assigned
- Apr 18, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rosalind Smith
- Title
- Chief Operating Officer
- Phone
- (404) 293-6979
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Community Health Clinic/Center | 261QC1500X |
Addresses
Primary practice location
158 Newnan Road
Carrollton, GA 30117
Mailing address
PO Box 2546
Carrollton, GA 30112-0047
Phone (770) 328-5458
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681776000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681776000000",
"number": "1033806435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2546",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "301120047",
"telephone_number": "770-328-5458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "158 NEWNAN ROAD",
"city": "CARROLLTON",
"state": "GA",
"postal_code": "30117",
"telephone_number": "770-328-5458"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE ROUSE FOUNDATION, INC",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-18",
"last_updated": "2023-04-18",
"certification_date": "2023-04-12",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "ROSALIND",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "404-293-6979"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.