NPIMap

Organization Active NPI

Fulton County Mhddad

  • Community/Behavioral Health Agency
  • Atlanta, GA
National Provider Identifier
1043386436
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FULTON COUNTY MHDDAD
Practice address
186 Sunset Avenue, NW
Atlanta, GA 30314-4059
Phone
(404) 612-9328
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

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

Authorized official

Name
Ms. Linda Jefferson
Title
Health Program Administrator
Phone
(404) 730-1059

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

186 Sunset Avenue, NW
Atlanta, GA 30314-4059

Mailing address

99 Jesse Hill Jr Drive
Suite 402
Atlanta, GA 30303-3045
Phone (404) 730-1059

Other identifiers 1

IdentifierTypeStateIssuer
000066833AMedicaidGA

Other names 1

  • Neighborhood Union Mental Health Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fulton County Mhddad16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294358400000",
    "number": "1043386436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 JESSE HILL JR DRIVE",
            "address_2": "SUITE 402",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033045",
            "telephone_number": "404-730-1059",
            "fax_number": "404-730-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "186 SUNSET AVENUE, NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303144059",
            "telephone_number": "404-612-9328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON COUNTY MHDDAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2011-01-07",
        "status": "A",
        "authorized_official_last_name": "JEFFERSON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "HEALTH PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "404-730-1059",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000066833A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Neighborhood Union Mental Health Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.