A Village@Southfulton, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

A VILLAGE@SOUTHFULTON, INC

Doing business as

A Village

Practice address

3475 N Desert Dr
Building 100
East Point, GA 30344-5723

Phone

(404) 574-2440

Fax

(404) 574-2441

NPI assigned

Jan 15, 2008

Last updated

Jan 15, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Baron L. Coker

Title

Ceo/President

Phone

(404) 574-2440

Specialties & licenses 1

Addresses

Other names 1

• A Village Doing business as

Locations

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200355200000",
    "number": "1235315623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 N DESERT DR",
            "address_2": "BUILDING 100",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303445723",
            "telephone_number": "404-574-2440",
            "fax_number": "404-574-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 N DESERT DR",
            "address_2": "BUILDING 100",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303445723",
            "telephone_number": "404-574-2440",
            "fax_number": "404-574-2441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A VILLAGE@SOUTHFULTON, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-15",
        "last_updated": "2008-01-15",
        "status": "A",
        "authorized_official_last_name": "COKER",
        "authorized_official_first_name": "BARON",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "404-574-2440"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Village",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in East Point, GA
• Providers in East Point, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.