Organization Active NPI

1St Care Management, Inc.

  • Primary Care Clinic/Center
  • Sandy Springs, GA
National Provider Identifier
1164974044
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
1ST CARE MANAGEMENT, INC.
Practice address
1120 Hope Rd.
Sandy Springs, GA 30350
Phone
(833) 633-4778
NPI assigned
Oct 26, 2016
Last updated
Oct 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Authorized official

Name
Yuliya Korabelnikova
Title
Ceo
Phone
(833) 633-4778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

1120 Hope Rd.
Sandy Springs, GA 30350

Mailing address

1120 Hope Rd.
Sandy Springs, GA 30350
Phone (833) 633-4778

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161205000452 GA Part B Supplier - Clinic/Group Practice 3375823636 Receives reassigned benefits from 3 practitioners
Practice locations: Sandy Springs, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D21374601St Care Management, Inc1120 Hope Road, Suite 300, Sandy Springs, GA 30350Certificate of waiverSep 26, 2027

National Provider Directory

National Provider Directory

Locations

1120 Hope Rd
Sandy Springs, GA 30350
Phone (404) 633-7433

1120 Hope Rd
Ste 200
Sandy Springs, GA 30350
Phone (404) 867-5202

1120 Hope Rd
Ste 210
Sandy Springs, GA 30350
Phone (404) 867-5202

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DCGDCD

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664755200000",
    "number": "1164974044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 HOPE RD.",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "30350",
            "telephone_number": "833-633-4778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 HOPE RD.",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "30350",
            "telephone_number": "833-633-4778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1ST CARE MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A",
        "authorized_official_last_name": "KORABELNIKOVA",
        "authorized_official_first_name": "YULIYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "833-633-4778"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.