Active NPI
Mobile Recovery Dolls
- Clinic/Center
- Loganville, GA
National Provider Identifier
1174278873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- MOBILE RECOVERY DOLLS
- Practice address
- 3925 Harrison Rd Ste 400
Loganville, GA 30052-5898 - Phone
- (470) 572-3199
- Fax
- (800) 504-1362
- NPI assigned
- Feb 21, 2022
- Last updated
- Feb 21, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kaylor Lynn Howard, RN
- Title
- Owner
- Phone
- (470) 572-3199
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
3925 Harrison Rd Ste 400
Loganville, GA 30052-5898
Mailing address
3925 Harrison Rd Ste 400
Loganville, GA 30052-5898
Phone (470) 572-3199
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Nurse Practitioner
- Loganville, GA
- NPI 1629722293
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645401600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1645401600000",
"number": "1174278873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3925 HARRISON RD STE 400",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300525898",
"telephone_number": "470-572-3199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3925 HARRISON RD STE 400",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300525898",
"telephone_number": "470-572-3199",
"fax_number": "800-504-1362"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOBILE RECOVERY DOLLS",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-21",
"last_updated": "2022-02-21",
"certification_date": "2022-02-21",
"status": "A",
"authorized_official_last_name": "HOWARD",
"authorized_official_first_name": "KAYLOR",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "470-572-3199",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loganville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.