NPIMap

Organization Active NPI

Tendercare Service of Georgia LLC

  • Phlebotomy Technician
  • Marietta, GA
National Provider Identifier
1255055513
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
Legal business name
TENDERCARE SERVICE OF GEORGIA LLC
Doing business as
Tendercare Service of Georgia LLC
Practice address
1840 Lantern Ridge Dr Apt J
Marietta, GA 30068-6194
Phone
(404) 909-6925
NPI assigned
Sep 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2022

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

Authorized official

Name
Ms. Martina Smoot
Title
MLT/Phlebotomist
Phone
(404) 909-6925

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 246RP1900X Primary

Addresses

Primary practice location

1840 Lantern Ridge Dr Apt J
Marietta, GA 30068-6194

Mailing address

1840 Lantern Ridge Dr Apt J
Marietta, GA 30068-6194
Phone (404) 909-6925

Other names 1

  • Tendercare Service of Georgia LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1664496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664496000000",
    "number": "1255055513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 LANTERN RIDGE DR APT J",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300686194",
            "telephone_number": "404-909-6925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 LANTERN RIDGE DR APT J",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300686194",
            "telephone_number": "404-909-6925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TENDERCARE SERVICE OF GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-30",
        "last_updated": "2022-09-30",
        "certification_date": "2022-09-30",
        "status": "A",
        "authorized_official_last_name": "SMOOT",
        "authorized_official_first_name": "MARTINA",
        "authorized_official_title_or_position": "MLT/PHLEBOTOMIST",
        "authorized_official_telephone_number": "404-909-6925",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tendercare Service of Georgia LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; 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.