NPIMap

Organization Active NPI

Profamily, LLC

  • Community/Behavioral Health Agency
  • Dalton, GA
National Provider Identifier
1144546581
Registry record updated Apr 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PROFAMILY, LLC
Practice address
2213 Cleveland Hwy
Dalton, GA 30721-8152
Phone
(706) 259-4961
Fax
(706) 259-4102
NPI assigned
Apr 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2010

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

Authorized official

Name
Joel David LyonNPI 1457121626
Title
Director
Phone
(706) 259-4961

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2213 Cleveland Hwy
Dalton, GA 30721-8152

Mailing address

PO Box 1662
Dalton, GA 30722-1662
Phone (706) 259-4961

National Provider Directory

National Provider Directory

Locations

2213 Cleveland Hwy
Dalton, GA 30721
Phone (706) 259-4961

Practitioners & affiliated clinicians

Practitioners 2

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": "1270771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270771200000",
    "number": "1144546581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1662",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307221662",
            "telephone_number": "706-259-4961",
            "fax_number": "706-259-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 CLEVELAND HWY",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307218152",
            "telephone_number": "706-259-4961",
            "fax_number": "706-259-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFAMILY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-09",
        "last_updated": "2010-04-09",
        "status": "A",
        "authorized_official_last_name": "LYON",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "706-259-4961"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; 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.