Active NPI
Desmond Atwell
- Case Manager/Care Coordinator
- Stockbridge, GA
National Provider Identifier
1154868537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 245 Country Club Dr
Suite 200G
Stockbridge, GA 30281-9080 - Phone
- (770) 507-9299
- Fax
- (844) 733-1154
- NPI assigned
- Jan 24, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
245 Country Club Dr
Suite 200G
Stockbridge, GA 30281-9080
Mailing address
245 Country Club Dr
Suite 200G
Stockbridge, GA 30281-9080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485216000000",
"number": "1154868537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 COUNTRY CLUB DR",
"address_2": "SUITE 200G",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302819080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 COUNTRY CLUB DR",
"address_2": "SUITE 200G",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302819080",
"telephone_number": "770-507-9299",
"fax_number": "844-733-1154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATWELL",
"first_name": "DESMOND",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-01-24",
"last_updated": "2017-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.