City of Pelham Board of Education

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

CITY OF PELHAM BOARD OF EDUCATION

Practice address

203 Mathewson Ave SW
Pelham, GA 31779-2113

Phone

(229) 294-8715

Fax

(229) 294-2760

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Mr. John L Vassar Jr.

Title

Billing Administrator

Phone

(386) 884-9900

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1114044765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 799",
            "city": "WHITE SPRINGS",
            "state": "FL",
            "postal_code": "320960799",
            "telephone_number": "386-884-9900",
            "fax_number": "888-737-1652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 MATHEWSON AVE SW",
            "city": "PELHAM",
            "state": "GA",
            "postal_code": "317792113",
            "telephone_number": "229-294-8715",
            "fax_number": "229-294-2760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF PELHAM BOARD OF EDUCATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "VASSAR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "386-884-9900",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000807111A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Pelham, GA
• Local Education Agency (LEA) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.