Active NPI
Correctional Medical Associates, Inc.
- Custodial Care Facility
- Atlanta, GA
National Provider Identifier
1174958706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Custodial Care Facility
- License
- J702424
- Legal business name
- CORRECTIONAL MEDICAL ASSOCIATES, INC.
- Practice address
- 1000 Circle 75 Pkwy SE
Suite 060
Atlanta, GA 30339-3026 - Phone
- (404) 760-0296
- Fax
- (404) 760-0298
- NPI assigned
- Sep 13, 2013
- 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
- Ms. Felicia Garrett Herring
- Title
- President
- Phone
- (404) 760-0296
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Custodial Care Facility | 311Z00000X | J702424 | GA | Primary |
Addresses
Primary practice location
1000 Circle 75 Pkwy SE
Suite 060
Atlanta, GA 30339-3026
Mailing address
1000 Circle 75 Pkwy SE
Suite 060
Atlanta, GA 30339-3026
Phone (404) 760-0296
National Provider Directory
National Provider Directory- Tax ID family
- Correctiona Medical Associates
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Clinic/Center
- Fayetteville, GA
- NPI 1407017965
Locations
1000 Circle 75 Pkwy SE
Ste 060
Atlanta, GA 30339
Phone (404) 760-0296
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1422230400000",
"number": "1174958706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 CIRCLE 75 PKWY SE",
"address_2": "SUITE 060",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303393026",
"telephone_number": "404-760-0296",
"fax_number": "404-760-0298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 CIRCLE 75 PKWY SE",
"address_2": "SUITE 060",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303393026",
"telephone_number": "404-760-0296",
"fax_number": "404-760-0298"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORRECTIONAL MEDICAL ASSOCIATES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2013-09-13",
"last_updated": "2015-01-26",
"status": "A",
"authorized_official_last_name": "HERRING",
"authorized_official_first_name": "FELICIA",
"authorized_official_middle_name": "GARRETT",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "404-760-0296",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "311Z00000X",
"taxonomy_group": "",
"desc": "Custodial Care Facility",
"state": "GA",
"license": "J702424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.