NPIMap

Organization Active NPI

Long Term Care Nurse Practitioner Services, LLC

  • Nurse Practitioner
  • Atlanta, GA
National Provider Identifier
1235401423
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
LONG TERM CARE NURSE PRACTITIONER SERVICES, LLC
Practice address
1201 Peachtree St
400 Colony Square, Suite 200
Atlanta, GA 30361-3503
Phone
(404) 881-2860
NPI assigned
Feb 2, 2012
Last updated
Feb 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Authorized official

Name
Mark Hunt
Title
Chief Executive Officer
Phone
(404) 881-2860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

1201 Peachtree St
400 Colony Square, Suite 200
Atlanta, GA 30361-3503

Mailing address

1201 Peachtree St
400 Colony Square, Suite 200
Atlanta, GA 30361-3503
Phone (404) 881-2860

National Provider Directory

National Provider Directory

Locations

1200 Deltona Blvd
Ste 20
Deltona, FL 32725

1000 Briarcliff Rd NE
Atlanta, GA 30306
Phone (404) 698-4281

6116 Belair Rd
Baltimore, MD 21206
Phone (410) 426-1424

1101 Maple Care Ln
Statesville, NC 28625
Phone (704) 871-0705

520 Valley St
Statesville, NC 28677
Phone (704) 519-2500

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1328140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1235401423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 PEACHTREE ST",
            "address_2": "400 COLONY SQUARE, SUITE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303613503",
            "telephone_number": "404-881-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 PEACHTREE ST",
            "address_2": "400 COLONY SQUARE, SUITE 200",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303613503",
            "telephone_number": "404-881-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG TERM CARE NURSE PRACTITIONER SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-02",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "HUNT",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "404-881-2860"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Feb 2, 2012; 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.