Organization Active NPI

Generations Health Services

  • Psychiatry Physician
  • Laurinburg, NC
National Provider Identifier
1215103650
Registry record updated May 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
GENERATIONS HEALTH SERVICES
Practice address
911 Atkinson St
Laurinburg, NC 28352-4718
Phone
(910) 291-9909
Fax
(910) 291-9913
NPI assigned
May 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2008

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

Authorized official

Name
Agyenim Akuamoah-Boateng, MS, CRC, LCAS, LPC
Title
Program Director
Phone
(910) 291-9909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

911 Atkinson St
Laurinburg, NC 28352-4718

Mailing address

PO Box 1887
Laurinburg, NC 28353-1887
Phone (910) 291-9909

Other identifiers 2

IdentifierTypeStateIssuer
6102025MedicaidNC
8302175MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Generations Health Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210032000000",
    "number": "1215103650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1887",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283531887",
            "telephone_number": "910-291-9909",
            "fax_number": "910-291-9913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "911 ATKINSON ST",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "283524718",
            "telephone_number": "910-291-9909",
            "fax_number": "910-291-9913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENERATIONS HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-06",
        "last_updated": "2008-05-06",
        "status": "A",
        "authorized_official_last_name": "AKUAMOAH-BOATENG",
        "authorized_official_first_name": "AGYENIM",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "910-291-9909",
        "authorized_official_credential": "MS, CRC, LCAS, LPC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6102025",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8302175",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurinburg, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2008; 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.