NPIMap

Organization Active NPI

Project Open Hand Atlanta Inc.

  • Voluntary or Charitable Agency
  • Atlanta, GA
National Provider Identifier
1104992569
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
PROJECT OPEN HAND ATLANTA INC.
Practice address
176 Ottley Dr NE
Atlanta, GA 30324-3925
Phone
(404) 872-9401
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Charlotte A. Hayes, RDNPI 1326147190
Title
Director of Nutrition Services
Phone
(404) 419-3331

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
Voluntary or Charitable Agency 251V00000X GA Primary

Addresses

Primary practice location

176 Ottley Dr NE
Atlanta, GA 30324-3925

Mailing address

176 Ottley Dr NE
Atlanta, GA 30324-3925
Phone (404) 872-9401

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120405000182 GA Part B Supplier - Voluntary Health/Charity Agency 5092766188 Practice locations: Atlanta, GA

National Provider Directory

National Provider Directory

Locations

176 Ottley Dr NE
Atlanta, GA 30324
Phone (404) 419-3308

Practitioners & affiliated clinicians

Practitioners 10

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": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104992569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 OTTLEY DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243925",
            "telephone_number": "404-872-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "176 OTTLEY DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303243925",
            "telephone_number": "404-872-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT OPEN HAND ATLANTA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "CHARLOTTE",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DIRECTOR OF NUTRITION SERVICES",
        "authorized_official_telephone_number": "404-419-3331",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RD"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.