Organization Active NPI

Department of Juvenile Justice

  • Nursing Facility/Intermediate Care Facility
  • Gainesville, GA
National Provider Identifier
1255768024
Registry record updated Oct 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X
License
RN069188 Issued in GA
Legal business name
DEPARTMENT OF JUVENILE JUSTICE
Practice address
450 Crescent Dr
Gainesville, GA 30501-5079
Phone
(770) 531-6083
Fax
(770) 531-4587
NPI assigned
Oct 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2013

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

Authorized official

Name
Alma Garrett, FNPNPI 1770932055
Title
FNPC
Phone
(770) 531-6083

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Facility/Intermediate Care Facility 313M00000X RN069188 GA Primary

Addresses

Primary practice location

450 Crescent Dr
Gainesville, GA 30501-5079

Mailing address

540 Cresent Dr
Gainesville, GA 30501-5079
Phone (770) 531-6083

National Provider Directory

National Provider Directory

Locations

450 Crescent Dr
Gainesville, GA 30501
Phone (770) 531-6083

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1381363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381363200000",
    "number": "1255768024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 CRESENT DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305015079",
            "telephone_number": "770-531-6083",
            "fax_number": "770-531-4587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 CRESCENT DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305015079",
            "telephone_number": "770-531-6083",
            "fax_number": "770-531-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF JUVENILE JUSTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-10",
        "last_updated": "2013-10-10",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "ALMA",
        "authorized_official_title_or_position": "FNPC",
        "authorized_official_telephone_number": "770-531-6083",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "GA",
            "license": "RN069188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.