NPIMap

Organization Active NPI

Red Earth Acupuncture

  • Clinic/Center
  • Fayetteville, GA
National Provider Identifier
1124683032
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
RED EARTH ACUPUNCTURE
Practice address
1836 Highway 54 W
Fayetteville, GA 30214-4742
Phone
(770) 783-1663
NPI assigned
May 6, 2019
Organization subpart
Yes
Parent organization
HILL COUNTRY HEALTH LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 6, 2019

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

Authorized official

Name
Brandi Shepard
Title
Assistant
Phone
(770) 783-1663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1836 Highway 54 W
Fayetteville, GA 30214-4742

Mailing address

1836 Highway 54 W
Fayetteville, GA 30214-4742

National Provider Directory

National Provider Directory
Part of
Red Earth Acupuncture

Locations

1836 Highway 54 W
Fayetteville, GA 30214
Phone (770) 783-1663

Practitioners & affiliated clinicians

Practitioners 1

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": "1557100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557100800000",
    "number": "1124683032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1836 HIGHWAY 54 W",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1836 HIGHWAY 54 W",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302144742",
            "telephone_number": "770-783-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED EARTH ACUPUNCTURE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HILL COUNTRY HEALTH LLC",
        "enumeration_date": "2019-05-06",
        "last_updated": "2019-05-06",
        "status": "A",
        "authorized_official_last_name": "SHEPARD",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_title_or_position": "ASSISTANT",
        "authorized_official_telephone_number": "770-783-1663"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; 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.