Active NPI
Truliant Health Systems
- Community/Behavioral Health Agency
- Forest Park, GA
National Provider Identifier
1093093759
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200304940A | Medicaid | OK | |
| 808590 | Other | GA | WELLCARE |
National Provider Directory
National Provider DirectoryLocations
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.