Organization Active NPI

College Park Regional Health Center

  • Public Health or Welfare Agency
  • College Park, GA
National Provider Identifier
1124174974
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
COLLEGE PARK REGIONAL HEALTH CENTER
Practice address
1920 John Wesley Ave
College Park, GA 30337-3606
Phone
(404) 765-4155
Fax
(404) 765-4149
NPI assigned
Jan 26, 2007
Last updated
Jun 24, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
FULTON COUNTY DEPT OF HEALTH&WELLNESSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Dr. Kim Turner, D.O.
Title
Health Director
Phone
(404) 730-1202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

1920 John Wesley Ave
College Park, GA 30337-3606

Mailing address

99 Jesse Hill Jr. Drive
Room 402
Atlanta, GA 30303
Phone (404) 730-1217

National Provider Directory

National Provider Directory
Part of
South Fulton Health Center

NPI Registry JSON

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1124174974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 JESSE HILL JR. DRIVE",
            "address_2": "ROOM 402",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30303",
            "telephone_number": "404-730-1217",
            "fax_number": "404-730-1233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 JOHN WESLEY AVE",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303373606",
            "telephone_number": "404-765-4155",
            "fax_number": "404-765-4149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEGE PARK REGIONAL HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FULTON COUNTY DEPT OF HEALTH&WELLNESS",
        "enumeration_date": "2007-01-26",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "HEALTH DIRECTOR",
        "authorized_official_telephone_number": "404-730-1202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.