Organization Active NPI

Truliant Health Systems

  • Community/Behavioral Health Agency
  • Forest Park, GA
National Provider Identifier
1093093759
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TRULIANT HEALTH SYSTEMS
Practice address
526 Forest Parkway Ste D
Forest Park, GA 30297
Phone
(404) 565-0181
Fax
(866) 823-4725
NPI assigned
Jul 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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

Authorized official

Name
Markesia Akinbami
Title
Cfo
Phone
(770) 722-1622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

526 Forest Parkway Ste D
Forest Park, GA 30297

Mailing address

1400 Veterans Memorial Hwy
Ste 134-323
Mableton, GA 30126
Phone (770) 722-1622

Other identifiers 2

IdentifierTypeStateIssuer
200304940AMedicaidOK
808590OtherGAWELLCARE

National Provider Directory

National Provider Directory

Locations

1400 Veterans Memorial Hwy SW
Ste 134323
Mableton, GA 30126

NPI Registry JSON

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

{
    "created_epoch": "1311897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412035200000",
    "number": "1093093759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 VETERANS MEMORIAL HWY",
            "address_2": "STE 134-323",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "30126",
            "telephone_number": "770-722-1622",
            "fax_number": "866-823-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "526 FOREST PARKWAY STE D",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "30297",
            "telephone_number": "404-565-0181",
            "fax_number": "866-823-4725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRULIANT HEALTH SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-29",
        "last_updated": "2014-09-30",
        "status": "A",
        "authorized_official_last_name": "AKINBAMI",
        "authorized_official_first_name": "MARKESIA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "770-722-1622"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200304940A",
            "state": "OK"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "808590",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2014; 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.