Organization Active NPI

Ser Familia, Inc.

  • Voluntary or Charitable Agency
  • Kennesaw, GA
National Provider Identifier
1174987879
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
SER FAMILIA, INC.
Practice address
1000 Cobb Place Blvd NW Ste 170
Kennesaw, GA 30144-7044
Phone
(678) 363-3079
NPI assigned
Apr 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Authorized official

Name
Mrs. Belisa M Urbina
Title
Chief Executive Officer
Phone
(678) 363-3079

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

1000 Cobb Place Blvd NW Ste 170
Kennesaw, GA 30144-7044

Mailing address

1000 Cobb Place Blvd NW Ste 170
Kennesaw, GA 30144-7044
Phone (678) 363-3079

Other practice location 1

6500 McDonough Dr Ste C15
Norcross, GA 30093-1217
Phone (678) 363-3079

Other practice location 2

3594 Baxley Point Dr
Suwanee, GA 30024-8461
Phone (678) 363-3079

Other practice location 3

1600 Roswell St SE Ste 4
Smyrna, GA 30080-2227
Phone (678) 363-3079

National Provider Directory

National Provider Directory

Locations

209 Northridge Dr
Acworth, GA 30101

1700 Water Pl SE
Atlanta, GA 30339

1000 Cobb Place Blvd NW
Ste 170
Kennesaw, GA 30144
Phone (678) 363-3079

6500 McDonough Dr
Ste C15
Norcross, GA 30093
Phone (678) 363-3079

1600 Roswell St SE
Ste 4
Smyrna, GA 30080
Phone (678) 363-3079

3594 Baxley Point Dr
Suwanee, GA 30024
Phone (678) 363-3079

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636502400000",
    "number": "1174987879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 COBB PLACE BLVD NW STE 170",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447044",
            "telephone_number": "678-363-3079",
            "fax_number": "678-574-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 COBB PLACE BLVD NW STE 170",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447044",
            "telephone_number": "678-363-3079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6500 McDonough Dr Ste C15",
            "address_purpose": "LOCATION",
            "city": "Norcross",
            "state": "GA",
            "postal_code": "300931217",
            "country_code": "US",
            "telephone_number": "678-363-3079",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3594 Baxley Point Dr",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300248461",
            "country_code": "US",
            "telephone_number": "678-363-3079",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1600 Roswell St SE Ste 4",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "GA",
            "postal_code": "300802227",
            "country_code": "US",
            "telephone_number": "678-363-3079",
            "fax_number": "010-467-8574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SER FAMILIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-08",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A",
        "authorized_official_last_name": "URBINA",
        "authorized_official_first_name": "BELISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "678-363-3079",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; 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.