NPIMap

Organization Active NPI

Magellan Healthcare Services

  • Exclusive Provider Organization
  • Alpharetta, GA
National Provider Identifier
1164551503
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
002776 Issued in GA
Legal business name
MAGELLAN HEALTHCARE SERVICES
Practice address
2550 Northwinds Pkwy
Alpharetta, GA 30004-2241
Phone
(800) 201-8316
NPI assigned
Mar 3, 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
Mr. Nishma Herrera-Daya, LMSW
Title
Supervisor
Phone
(800) 201-8316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 002776 GA Primary

Addresses

Primary practice location

2550 Northwinds Pkwy
Alpharetta, GA 30004-2241

Mailing address

2785 Oak Meadow Dr
Snellville, GA 30078-2794
Phone (770) 736-9988

National Provider Directory

National Provider Directory
Tax ID family
Magellan Health Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2550 Northwinds Pkwy
Alpharetta, GA 30009
Phone (678) 319-3746

NPI Registry JSON

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

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164551503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2785 OAK MEADOW DR",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300782794",
            "telephone_number": "770-736-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2550 NORTHWINDS PKWY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300042241",
            "telephone_number": "800-201-8316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAGELLAN HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERRERA-DAYA",
        "authorized_official_first_name": "NISHMA",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "800-201-8316",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "GA",
            "license": "002776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, 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.