Collaborative Professional Services

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

COLLABORATIVE PROFESSIONAL SERVICES

Practice address

410 Cornwallis Way
Fayetteville, GA 30214-1591

Phone

(678) 304-9787

NPI assigned

Jul 16, 2015

Organization subpart

No

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

Authorized official

Name

Felicita Wright

Title

Owner/Don

Phone

(678) 304-9787

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1437004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445040000000",
    "number": "1255715421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 CORNWALLIS WAY",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141591",
            "telephone_number": "678-304-9787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 CORNWALLIS WAY",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141591",
            "telephone_number": "678-304-9787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLABORATIVE PROFESSIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-16",
        "last_updated": "2015-10-17",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "FELICITA",
        "authorized_official_title_or_position": "OWNER/DON",
        "authorized_official_telephone_number": "678-304-9787"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Nicholas Cole, MD
• Santonia Coleman, CPT
• Curtis James Coley II, MD
• Melissa Lorraine Coley, COTA/L
• Rae Sansom Coley, LCSW
• Derek Collins II, NP
• Jason Collins
• Kenneth Ray Collins Jr., D.D.S.
• William Collins, MD
• Colorectal Wellness Center LLC

• Home Health Agency in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2015; 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.