Active NPI
Lorraine Driver
- Case Management Agency
- Monroe, GA
National Provider Identifier
1245245620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- LORRAINE DRIVER
- Practice address
- 120 2ND St Ste 105
Monroe, GA 30655-2391 - Phone
- (770) 207-5300
- Fax
- (888) 843-1625
- NPI assigned
- Jul 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lorraine Driver
- Title
- Ceo
- Phone
- (770) 207-5300
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Contractor | 171W00000X | |||
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
120 2ND St Ste 105
Monroe, GA 30655-2391
Mailing address
PO Box 1807
Monroe, GA 30655-6807
Phone (770) 207-5300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 842788030B | Medicaid | GA | |
| 842788030C | Medicaid | GA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1512604800000",
"number": "1245245620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1807",
"city": "MONROE",
"state": "GA",
"postal_code": "306556807",
"telephone_number": "770-207-5300",
"fax_number": "888-843-1625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 2ND ST STE 105",
"city": "MONROE",
"state": "GA",
"postal_code": "306552391",
"telephone_number": "770-207-5300",
"fax_number": "888-843-1625"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LORRAINE DRIVER",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-31",
"last_updated": "2017-12-07",
"status": "A",
"authorized_official_last_name": "DRIVER",
"authorized_official_first_name": "LORRAINE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "770-207-5300",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "171W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Contractor",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "842788030B",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "842788030C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.