Organization Active NPI

Atlanta Digital Experience Society, LLC

  • Case Management Agency
  • Caruthersville, MO
National Provider Identifier
1174437743
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
ATLANTA DIGITAL EXPERIENCE SOCIETY, LLC
Practice address
311 E 6TH St
Caruthersville, MO 63830-1609
Phone
(573) 730-2523
NPI assigned
Sep 30, 2026
Last updated
Sep 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Authorized official

Name
Tamela Walker
Title
Owner
Phone
(470) 236-3992

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

311 E 6TH St
Caruthersville, MO 63830-1609

Mailing address

311 E 6TH St
Caruthersville, MO 63830-1609
Phone (573) 730-2523

NPI Registry JSON

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

{
    "created_epoch": "1790726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790726400000",
    "number": "1174437743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 E 6TH ST",
            "city": "CARUTHERSVILLE",
            "state": "MO",
            "postal_code": "638301609",
            "telephone_number": "573-730-2523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 E 6TH ST",
            "city": "CARUTHERSVILLE",
            "state": "MO",
            "postal_code": "638301609",
            "telephone_number": "573-730-2523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA DIGITAL EXPERIENCE SOCIETY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-30",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "WALKER",
        "authorized_official_first_name": "TAMELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-236-3992"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Caruthersville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.