Concentra

Primary specialty

Personal Emergency Response AttendantTaxonomy code 146D00000X

License

001968 Issued in GA

Legal business name

CONCENTRA

Practice address

3980 Willow Ridge Rd
Douglasville, GA 30135-2774

Phone

(770) 403-4200

NPI assigned

Oct 7, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Robert H Joran Jr., P.A.

Title

Physician

Phone

(770) 403-4200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1225289366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3980 WILLOW RIDGE RD",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301352774",
            "telephone_number": "770-403-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3980 WILLOW RIDGE RD",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301352774",
            "telephone_number": "770-403-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCENTRA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "JORAN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "770-403-4200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "P.A."
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Personal Emergency Response Attendant",
            "state": "GA",
            "license": "001968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Personal Emergency Response Attendant in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Personal Emergency Response Attendant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.