NPIMap

Organization Active NPI

United Healthcare

  • Health Maintenance Organization
  • Norcross, GA
National Provider Identifier
1144369232
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
RN174554 NP Issued in GA
Legal business name
UNITED HEALTHCARE
Practice address
3720 Davinci CT
Norcross, GA 30092-7627
Phone
(770) 582-4484
NPI assigned
Feb 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Jill J Pagano, NPNPI 1982761920
Title
Health Services Director
Phone
(770) 582-3985

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
Health Maintenance Organization 302R00000X RN174554 NP GA Primary

Addresses

Primary practice location

3720 Davinci CT
Norcross, GA 30092-7627

Mailing address

207 Crestmont Way
Canton, GA 30114-8875
Phone (678) 493-7374

Other names 1

  • EVERCARE GEORGIA Former legal business name

National Provider Directory

National Provider Directory

Locations

3720 Davinci Ct
Norcross, GA 30092
Phone (770) 582-3838

Practitioners & affiliated clinicians

Practitioners 6

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": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144369232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 CRESTMONT WAY",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301148875",
            "telephone_number": "678-493-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 DAVINCI CT",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300927627",
            "telephone_number": "770-582-4484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAGANO",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "HEALTH SERVICES DIRECTOR",
        "authorized_official_telephone_number": "770-582-3985",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "GA",
            "license": "RN174554 NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EVERCARE GEORGIA",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.