A Humbling Spirit Family Practice, Inc.

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

08697 Issued in GA

Legal business name

A HUMBLING SPIRIT FAMILY PRACTICE, INC.

Practice address

2412 Horseshoe Bend Rd SW
Marietta, GA 30064-4412

Phone

(404) 358-0443

Fax

(678) 348-7577

NPI assigned

Apr 19, 2016

Last updated

Apr 19, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Sheila D Hamilton-Bynum

Title

Executive Director

Phone

(404) 358-0443

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1194179861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2198",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300812198",
            "telephone_number": "404-358-0443",
            "fax_number": "678-348-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 HORSESHOE BEND RD SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300644412",
            "telephone_number": "404-358-0443",
            "fax_number": "678-348-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A HUMBLING SPIRIT FAMILY PRACTICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-19",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "HAMILTON-BYNUM",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "404-358-0443",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "GA",
            "license": "08697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Marietta, GA
• Providers in Marietta, GA by specialty
• Point of Service in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; 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.