Organization Active NPI

Confidence Ownership Responsibility Exercise, LLC

  • Pediatric Obesity Medicine Physician
  • Athens, GA
National Provider Identifier
1134571524
Registry record updated Jul 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Obesity Medicine PhysicianTaxonomy code 2080B0002X
Legal business name
CONFIDENCE OWNERSHIP RESPONSIBILITY EXERCISE, LLC
Practice address
196 Alps Rd Unit 5276
Athens, GA 30604-0111
Phone
(404) 790-1986
NPI assigned
Jul 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2016

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

Authorized official

Name
Ken ParrisNPI 1841675519
Title
Member
Phone
(404) 790-1986

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Obesity Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080B0002X Primary

Addresses

Primary practice location

196 Alps Rd Unit 5276
Athens, GA 30604-0111

Mailing address

196 Alps Rd Unit 5276
Athens, GA 30604-0111
Phone (404) 790-1986

National Provider Directory

National Provider Directory

Locations

196 Alps Rd
Unit 5276
Athens, GA 30606
Phone (404) 790-1986

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": "1467936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467936000000",
    "number": "1134571524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 ALPS RD UNIT 5276",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306040111",
            "telephone_number": "404-790-1986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 ALPS RD UNIT 5276",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306040111",
            "telephone_number": "404-790-1986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONFIDENCE OWNERSHIP RESPONSIBILITY EXERCISE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-08",
        "last_updated": "2016-07-08",
        "status": "A",
        "authorized_official_last_name": "PARRIS",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "404-790-1986"
    },
    "taxonomies": [
        {
            "code": "2080B0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; 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.