Active NPI
Educare Collaborative LLC
- Local Education Agency (LEA)
- McDonough, GA
National Provider Identifier
1194437483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Local Education Agency (LEA)
- Legal business name
- EDUCARE COLLABORATIVE LLC
- Practice address
- 152 Southgate Blvd
McDonough, GA 30253-8035 - Phone
- (678) 988-6835
- NPI assigned
- Dec 19, 2022
- 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
- Karen Irwin-Copeland
- Title
- Nurse
- Phone
- (678) 988-6835
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | Primary | ||
| Health Maintenance Organization | 302R00000X |
Addresses
Primary practice location
152 Southgate Blvd
McDonough, GA 30253-8035
Mailing address
152 Southgate Blvd
McDonough, GA 30253-8035
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Stockbridge, GA
- NPI 1073255857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671408000000",
"number": "1194437483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "152 SOUTHGATE BLVD",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302538035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "152 SOUTHGATE BLVD",
"city": "MCDONOUGH",
"state": "GA",
"postal_code": "302538035",
"telephone_number": "678-988-6835"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDUCARE COLLABORATIVE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-19",
"last_updated": "2022-12-19",
"certification_date": "2022-12-17",
"status": "A",
"authorized_official_last_name": "IRWIN-COPELAND",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "NURSE",
"authorized_official_telephone_number": "678-988-6835"
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": null,
"license": null,
"primary": true
},
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McDonough, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.