NPIMap

Organization Active NPI

Principal Growth LLC

  • Optometrist
  • Atlanta, GA
National Provider Identifier
1124171723
Registry record updated Aug 22, 2020
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Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
870T Issued in GA
Legal business name
PRINCIPAL GROWTH LLC
Practice address
2184 Henderson Mill Rd NE
Suite 12B
Atlanta, GA 30345-3762
Phone
(770) 491-1255
NPI assigned
Jan 19, 2007
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
Dr. Cindy Stewart, OD
Title
Owner
Phone
(770) 491-1255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 870T GA Primary

Addresses

Primary practice location

2184 Henderson Mill Rd NE
Suite 12B
Atlanta, GA 30345-3762

Mailing address

2184 Henderson Mill Rd NE
Suite 12B
Atlanta, GA 30345-3762
Phone (770) 491-1255

Other names 1

  • Family First Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124171723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2184 HENDERSON MILL RD NE",
            "address_2": "SUITE 12B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453762",
            "telephone_number": "770-491-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2184 HENDERSON MILL RD NE",
            "address_2": "SUITE 12B",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303453762",
            "telephone_number": "770-491-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINCIPAL GROWTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-491-1255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "GA",
            "license": "870T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family First",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.