Organization Active NPI

Cmo of Georgia, LLC

  • Case Management Agency
  • Rex, GA
National Provider Identifier
1063853364
Registry record updated Jul 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
RN163373 Issued in GA
Legal business name
CMO OF GEORGIA, LLC
Practice address
6728 Chesepeake TRL
Rex, GA 30273-2229
Phone
(404) 664-6183
NPI assigned
Jul 15, 2013
Last updated
Jul 15, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
COLEMAN ENTERPRISES & ASSOCIATES, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 2013

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

Authorized official

Name
Ms. Alcenia Coleman, RNNPI 1679647507
Title
Coo
Phone
(404) 664-6183

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X RN163373 GA Primary
Nursing Care Agency 251J00000X RN163373 GA

Addresses

Primary practice location

6728 Chesepeake TRL
Rex, GA 30273-2229

Mailing address

PO Box 258
Morrow, GA 30260-0258
Phone (404) 664-6183

National Provider Directory

National Provider Directory
Part of
Coleman Enterprises Associates Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373846400000",
    "number": "1063853364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 258",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302600258",
            "telephone_number": "404-664-6183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6728 CHESEPEAKE TRL",
            "city": "REX",
            "state": "GA",
            "postal_code": "302732229",
            "telephone_number": "404-664-6183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMO OF GEORGIA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COLEMAN ENTERPRISES & ASSOCIATES, INC.",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-07-15",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "ALCENIA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "404-664-6183",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "GA",
            "license": "RN163373",
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "GA",
            "license": "RN163373",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rex, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; 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.