Epic Medical Services, LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

EPIC MEDICAL SERVICES, LLC

Practice address

122 N. McDonough St.
Suite 900
Jonesboro, GA 30236

Phone

(678) 271-2255

NPI assigned

Dec 19, 2022

Organization subpart

No

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

Authorized official

Name

Tanya Tolever, RN

Title

Nurse Administrator

Phone

(678) 271-2255

Specialties & licenses 1

Addresses

Other names 1

• Epic Pediatric Home Health Care, LLC Former legal business name

Locations

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671408000000",
    "number": "1043922230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11945 HARBOUR TOWN PKWY",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302158046",
            "telephone_number": "770-490-1498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 N. MCDONOUGH ST.",
            "address_2": "SUITE 900",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "30236",
            "telephone_number": "678-271-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIC MEDICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-19",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-16",
        "status": "A",
        "authorized_official_last_name": "TOLEVER",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "NURSE ADMINISTRATOR",
        "authorized_official_telephone_number": "678-271-2255",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Epic Pediatric Home Health Care, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; 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.