Westbury Conyers LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

11221890 Issued in GA

Legal business name

WESTBURY CONYERS LLC

Practice address

1420 Milstead Rd NE
Conyers, GA 30012-3823

Phone

(770) 483-3902

Fax

(770) 483-2342

NPI assigned

Jun 20, 2006

Organization subpart

No

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

Authorized official

Name

Penelope W Griffin

Title

Chief Operating Officer

Phone

(770) 228-1228

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501459200000",
    "number": "1043256969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 MILSTEAD RD NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123823",
            "telephone_number": "770-483-3902",
            "fax_number": "770-483-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 MILSTEAD RD NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123823",
            "telephone_number": "770-483-3902",
            "fax_number": "770-483-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTBURY CONYERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2017-07-31",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "PENELOPE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "770-228-1228"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "11221890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5100710 001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000143503A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tallulakie Wesley
• Shonteila West Gregoire
• Lacy McKay Adamson West, APC ATR
• Rodney Andre West, D.C.
• Sherese Arvadene West
• Dianne White-Christian, RN
• Michaela White
• Nicole A White, EDS
• Nikki White
• Bryan Justin Whitfield, MD

• Skilled Nursing Facility in Conyers, GA
• Providers in Conyers, GA by specialty
• Skilled Nursing Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2017; 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.