Active NPI
Chris Hairston
- Health Educator
- Douglasville, GA
National Provider Identifier
1225613698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- Practice address
- 8332 Office Park Dr
Douglasville, GA 30134-6937 - Phone
- (404) 644-5017
- NPI assigned
- Mar 16, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Educator | 174H00000X | Primary |
Addresses
Primary practice location
8332 Office Park Dr
Douglasville, GA 30134-6937
Mailing address
3340 Cumberland Blvd SE Apt 273
Atlanta, GA 30339-3729
Phone (404) 644-5017
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615852800000",
"number": "1225613698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340 CUMBERLAND BLVD SE APT 273",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303393729",
"telephone_number": "404-644-5017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8332 OFFICE PARK DR",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301346937",
"telephone_number": "404-644-5017"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAIRSTON",
"first_name": "CHRIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-16",
"last_updated": "2021-03-16",
"certification_date": "2021-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Douglasville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.