NPIMap

Organization Active NPI

Third Day Ministry

  • Skilled Nursing Facility
  • Atlanta, GA
National Provider Identifier
1093052359
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
LPN059388 Issued in GA
Legal business name
THIRD DAY MINISTRY
Practice address
2064 Ridgedale Rd NE
Atlanta, GA 30317
Phone
(888) 719-5445
Fax
(678) 805-4743
NPI assigned
Jan 7, 2013
Organization subpart
Yes
Parent organization
ON THE THIRD DAY CHRISTIAN MINISTRIESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Authorized official

Name
Dr. Carla Bernita Jones, DOCTORATE DEGREENPI 1891032157
Title
Program Manager
Phone
(888) 719-5445

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X LPN059388 GA Primary
Religious Nonmedical PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 374K00000X LPN059388 GA
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 374U00000X LPN059388 GA
HomemakerGroup: 193200000X MULTI-SPECIALTY GROUP 376J00000X LPN059388 GA
Nurse's AideGroup: 193200000X MULTI-SPECIALTY GROUP 376K00000X LPN059388 GA

Addresses

Primary practice location

2064 Ridgedale Rd NE
Atlanta, GA 30317

Mailing address

2064 Ridgedale Rd NE
Atlanta, GA 30317
Phone (888) 719-5445

Other identifiers 1

IdentifierTypeStateIssuer
LPN059388OtherGANURSING LICENSE

National Provider Directory

National Provider Directory
Part of
Third Day Ministry

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": "1357516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1093052359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2064 RIDGEDALE RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30317",
            "telephone_number": "888-719-5445",
            "fax_number": "678-805-4743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2064 RIDGEDALE RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30317",
            "telephone_number": "888-719-5445",
            "fax_number": "678-805-4743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIRD DAY MINISTRY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ON THE THIRD DAY CHRISTIAN MINISTRIES",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "BERNITA",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "888-719-5445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DOCTORATE DEGREE"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "GA",
            "license": "LPN059388",
            "primary": true
        },
        {
            "code": "374K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Religious Nonmedical Practitioner",
            "state": "GA",
            "license": "LPN059388",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": "GA",
            "license": "LPN059388",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Homemaker",
            "state": "GA",
            "license": "LPN059388",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": "GA",
            "license": "LPN059388",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NURSING LICENSE",
            "identifier": "LPN059388",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.