Organization Active NPI

Ford Family Service, Inc.

  • Counselor
  • Stone Mountain, GA
National Provider Identifier
1255529582
Registry record updated Oct 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
FORD FAMILY SERVICE, INC.
Practice address
1305 Panola Rd
Stone Mountain, GA 30088-3303
Phone
(770) 235-4287
Fax
(770) 469-4536
NPI assigned
Oct 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2007

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

Authorized official

Name
Mrs. Wilma Ford
Title
Ceo
Phone
(770) 235-4287

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

1305 Panola Rd
Stone Mountain, GA 30088-3303

Mailing address

5279 Abbey RDG
Stone Mountain, GA 30088-1820
Phone (770) 235-4287

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1192060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192060800000",
    "number": "1255529582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5279 ABBEY RDG",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300881820",
            "telephone_number": "770-235-4287",
            "fax_number": "770-469-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 PANOLA RD",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300883303",
            "telephone_number": "770-235-4287",
            "fax_number": "770-469-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORD FAMILY SERVICE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-11",
        "last_updated": "2007-10-11",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "WILMA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-235-4287",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2007; 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.