NPIMap

Organization Active NPI

Easter Seals North Georgia, Inc.

  • Voluntary or Charitable Agency
  • Atlanta, GA
National Provider Identifier
1225123383
Registry record updated Apr 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
EASTER SEALS NORTH GEORGIA, INC.
Practice address
53 Perimeter Center East Suite 550
Atlanta, GA 30346
Phone
(404) 943-1070
Fax
(404) 943-0890
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2015

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

Authorized official

Name
Ms. Donna Marie Davidson, M.ED
Title
President and Ceo
Phone
(404) 943-1070

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X CH002718 GA
Voluntary or Charitable Agency 251V00000X GA Primary

Addresses

Primary practice location

53 Perimeter Center East Suite 550
Atlanta, GA 30346

Mailing address

53 Perimeter Center East
Suite 550
Atlanta, GA 30346
Phone (404) 943-1070

Other identifiers 1

IdentifierTypeStateIssuer
300028410DMedicaidGA

National Provider Directory

National Provider Directory

Locations

53 Perimeter Ctr E
Ste 550
Atlanta, GA 30346
Phone (404) 943-1070

Practitioners & affiliated clinicians

Practitioners 9

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": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428278400000",
    "number": "1225123383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 PERIMETER CENTER EAST",
            "address_2": "SUITE 550",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30346",
            "telephone_number": "404-943-1070",
            "fax_number": "404-943-0890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 PERIMETER CENTER EAST SUITE 550",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30346",
            "telephone_number": "404-943-1070",
            "fax_number": "404-943-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTER SEALS NORTH GEORGIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2015-04-06",
        "status": "A",
        "authorized_official_last_name": "DAVIDSON",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "404-943-1070",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "GA",
            "license": "CH002718",
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300028410D",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 6, 2015; 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.