CC Visions

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

812199 Issued in GA

Legal business name

CC VISIONS

Doing business as

celethia coleman

Practice address

600 Addison Way
McDonough, GA 30253-8075

Phone

(404) 823-4481

Fax

(678) 782-3530

NPI assigned

Nov 15, 2010

Last updated

Jan 2, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Celethia J Coleman

Title

Cna/PCT

Phone

(404) 823-4481

Specialties & licenses 2

Addresses

Other names 1

• celethia coleman Doing business as

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420156800000",
    "number": "1073814505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 ADDISON WAY",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302538075",
            "telephone_number": "404-823-4481",
            "fax_number": "678-782-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ADDISON WAY",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302538075",
            "telephone_number": "404-823-4481",
            "fax_number": "678-782-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CC VISIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-15",
        "last_updated": "2015-01-02",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "CELETHIA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CNA/PCT",
        "authorized_official_telephone_number": "404-823-4481",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "GA",
            "license": "812199",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "GA",
            "license": "12053036",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "celethia coleman",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Health Maintenance Organization in McDonough, GA
• Providers in McDonough, GA by specialty
• Health Maintenance Organization in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2015; 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.