Organization Active NPI

Lorraine Driver

  • Case Management Agency
  • Monroe, GA
National Provider Identifier
1245245620
Registry record updated Dec 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
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

Updated by the provider on Dec 7, 2017

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)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
842788030BMedicaidGA
842788030CMedicaidGA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.