Organization Active NPI

Quantum Healthwork, Inc

  • Sports Medicine (Family Medicine) Physician
  • Cumming, GA
National Provider Identifier
1205031291
Registry record updated Mar 19, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
012495 Issued in GA
Legal business name
QUANTUM HEALTHWORK, INC
Practice address
104 Colony Park Dr
Suite 800
Cumming, GA 30040-2792
Phone
(678) 947-4454
Fax
(678) 208-9876
NPI assigned
Jun 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2009

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

Authorized official

Name
Mrs. Stacie Sloan
Title
Office Manager
Phone
(678) 947-4454

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QS0010X 012495 GA Primary

Addresses

Primary practice location

104 Colony Park Dr
Suite 800
Cumming, GA 30040-2792

Mailing address

104 Colony Park Dr
Suite 800
Cumming, GA 30040-2792
Phone (678) 947-4454

Other names 1

  • The Genesis Center Doing business as

National Provider Directory

National Provider Directory

Locations

104 Colony Park Dr
Ste 800
Cumming, GA 30040
Phone (678) 947-4454

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": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1205031291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 COLONY PARK DR",
            "address_2": "SUITE 800",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402792",
            "telephone_number": "678-947-4454",
            "fax_number": "678-208-9876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 COLONY PARK DR",
            "address_2": "SUITE 800",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402792",
            "telephone_number": "678-947-4454",
            "fax_number": "678-208-9876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUANTUM HEALTHWORK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "SLOAN",
        "authorized_official_first_name": "STACIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "678-947-4454",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "GA",
            "license": "012495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Genesis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.