Active NPI
Partner Trauma Care Network
- Community/Behavioral Health Agency
- Atlanta, GA
National Provider Identifier
1124450895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- PARTNER TRAUMA CARE NETWORK
- Practice address
- 9 Dunwoody Park
Suite 136
Atlanta, GA 30338-7407 - Phone
- (770) 853-8333
- NPI assigned
- Aug 5, 2013
- 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
- Richard Blankenship, LPC, NCC, CCH, CCSAS
- Title
- Director
- Phone
- (770) 853-8333
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
9 Dunwoody Park
Suite 136
Atlanta, GA 30338-7407
Mailing address
9 Dunwoody Park
Suite 136
Atlanta, GA 30338-7407
National Provider Directory
National Provider DirectoryLocations
9 Dunwoody Park
Ste 136
Dunwoody, GA 30338
Phone (404) 594-0625
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1375660800000",
"number": "1124450895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 DUNWOODY PARK",
"address_2": "SUITE 136",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303387407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 DUNWOODY PARK",
"address_2": "SUITE 136",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303387407",
"telephone_number": "770-853-8333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARTNER TRAUMA CARE NETWORK",
"organizational_subpart": "NO",
"enumeration_date": "2013-08-05",
"last_updated": "2013-08-05",
"status": "A",
"authorized_official_last_name": "BLANKENSHIP",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "770-853-8333",
"authorized_official_credential": "LPC, NCC, CCH, CCSAS"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"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 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.