Ruth Buckley

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

725081 Issued in GA

Practice address

2959 Chapel Hill Rd Ste D118
Douglasville, GA 30135-1785

Phone

(404) 907-5542

Fax

(678) 550-9216

NPI assigned

Aug 21, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440115200000",
    "number": "1134596430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8849 HIGHWAY 5 STE L",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301341500",
            "telephone_number": "404-907-5542",
            "fax_number": "678-550-9216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2959 CHAPEL HILL RD STE D118",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351785",
            "telephone_number": "404-907-5542",
            "fax_number": "678-550-9216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLEY",
        "first_name": "RUTH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-21",
        "last_updated": "2015-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "GA",
            "license": "725081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Mansfield Bryant
• Leonard Bryant
• Lillie R Bryant, RN
• Jordi Buchanan, RBT
• Kent Buchanan, PT
• Rosalind Buckner
• Tri Bui, RPH
• Cory Buice, DPT
• Raeonda Bullard, MD
• William G Bumgarner, DDS

• Developmentally Disabled Services Day Training Agency in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Developmentally Disabled Services Day Training Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; 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.