Active NPI
Angela Minor
- Home Health Aide
- Stone Mountain, GA
National Provider Identifier
1225797491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Practice address
- 1020 Ashley Creek Cir
Stone Mountain, GA 30083-6342 - Phone
- (470) 577-5537
- NPI assigned
- Dec 15, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | GA | Primary |
Addresses
Primary practice location
1020 Ashley Creek Cir
Stone Mountain, GA 30083-6342
Mailing address
1020 Ashley Creek Cir
Stone Mountain, GA 30083-6342
Phone (470) 577-5537
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": "1639526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639526400000",
"number": "1225797491",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 ASHLEY CREEK CIR",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300836342",
"telephone_number": "470-577-5537"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1020 ASHLEY CREEK CIR",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300836342",
"telephone_number": "470-577-5537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINOR",
"first_name": "ANGELA",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-12-15",
"last_updated": "2021-12-15",
"certification_date": "2021-12-15",
"status": "A"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stone Mountain, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.