Organization Active NPI

Good Samartians Community Development Group, Inc.

  • Behavior Analyst
  • Fayetteville, GA
National Provider Identifier
1083945950
Registry record updated Jan 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
GOOD SAMARTIANS COMMUNITY DEVELOPMENT GROUP, INC.
Practice address
12219 Barney CT
Fayetteville, GA 30215-8063
Phone
(678) 478-5798
NPI assigned
Jan 16, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2010

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

Authorized official

Name
Mr. Jay Anthony RamosNPI 1518298496
Title
President
Phone
(678) 478-5798

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

12219 Barney CT
Fayetteville, GA 30215-8063

Mailing address

12219 Barney CT
Fayetteville, GA 30215-8063
Phone (678) 478-5798

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263600000000",
    "number": "1083945950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12219 BARNEY CT",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302158063",
            "telephone_number": "678-478-5798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12219 BARNEY CT",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302158063",
            "telephone_number": "678-478-5798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD SAMARTIANS COMMUNITY DEVELOPMENT GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-16",
        "last_updated": "2010-01-16",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-478-5798",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2010; 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.