NPIMap

Organization Active NPI

Fulton County Health Dept

Doing business as Oak Hill Child & Adolescent Center

  • Community/Behavioral Health Agency
  • Atlanta, GA
National Provider Identifier
1184790107
Registry record updated Jul 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FULTON COUNTY HEALTH DEPT
Doing business as
Oak Hill Child & Adolescent Center
Practice address
2805 Metropolitan Pkwy SW
Atlanta, GA 30315-7913
Phone
(404) 612-4111
NPI assigned
Nov 28, 2006
Last updated
Jul 22, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2014

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

Authorized official

Name
Mrs. Lashonna Jackson-Clark
Title
Accounting Manager
Phone
(404) 613-1220

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2805 Metropolitan Pkwy SW
Atlanta, GA 30315-7913

Mailing address

99 Jesse Hill Jr. Drive
Ste 402
Atlanta, GA 30303
Phone (404) 613-1220

Other identifiers 1

IdentifierTypeStateIssuer
740260459AMedicaidGA

Other names 1

  • Oak Hill Child & Adolescent Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fulton County Mhddad16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405987200000",
    "number": "1184790107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 JESSE HILL JR. DRIVE",
            "address_2": "STE 402",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30303",
            "telephone_number": "404-613-1220",
            "fax_number": "404-224-5235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2805 METROPOLITAN PKWY SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303157913",
            "telephone_number": "404-612-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON COUNTY HEALTH DEPT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2014-07-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON-CLARK",
        "authorized_official_first_name": "LASHONNA",
        "authorized_official_title_or_position": "ACCOUNTING MANAGER",
        "authorized_official_telephone_number": "404-613-1220",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "740260459A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Oak Hill Child & Adolescent Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 22, 2014; 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.