Unique-N-Assurance Healthcare Agency LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

076-R-1011 Issued in GA

Legal business name

UNIQUE-N-ASSURANCE HEALTHCARE AGENCY LLC

Practice address

910 Arrowhead TRL # Ga31088
Warner Robins, GA 31088-5372

Phone

(888) 541-5552

NPI assigned

Mar 15, 2012

Organization subpart

No

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

Authorized official

Name

Gwendolyn Dumas

Title

Ceo

Phone

(478) 228-1422

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1083989669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2145",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302818909",
            "telephone_number": "888-541-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 ARROWHEAD TRL # GA31088",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310885372",
            "telephone_number": "888-541-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIQUE-N-ASSURANCE HEALTHCARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "DUMAS",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "478-228-1422"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "GA",
            "license": "076-R-1011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; 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.