Markham Sheppard, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MARKHAM SHEPPARD, LLC

Practice address

6624 Jimmy Carter Blvd Ste a
Peachtree Corners, GA 30071-1727

Phone

(404) 900-5450

Fax

(404) 900-5450

NPI assigned

Jan 21, 2019

Organization subpart

No

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

Authorized official

Name

Angela V. Samuels

Title

President

Phone

(404) 900-5450

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1548028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548028800000",
    "number": "1144794488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2483 HERITAGE VLG",
            "address_2": "SUITE # 16 - 335",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "30078",
            "telephone_number": "404-900-5450",
            "fax_number": "404-900-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6624 JIMMY CARTER BLVD STE A",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300711727",
            "telephone_number": "404-900-5450",
            "fax_number": "404-900-5450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARKHAM SHEPPARD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-21",
        "last_updated": "2019-01-21",
        "status": "A",
        "authorized_official_last_name": "SAMUELS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-900-5450"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mia Nora Maldonado
• Jeffrey Michael Malucci, D.C.
• Manning the Teleoptometric Service, P.C.
• Molly Manning
• Craig Marker, PH.D.
• K Simone Marshall, CNM, WHNP
• Lynn Berner Marshall, RPH
• Merideth McClain
• Kiera McDaniel, BA
• Haley McDonald, PT, DPT

• Community/Behavioral Health Agency in Peachtree Corners, GA
• Providers in Peachtree Corners, GA by specialty
• Community/Behavioral Health Agency in Georgia

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