Active NPI
Department of Juvenile Justice
- Nursing Facility/Intermediate Care Facility
- Gainesville, GA
National Provider Identifier
1255768024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- RN069188
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alma Garrett, FNP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Family Nurse Practitioner
- Gainesville, GA
- NPI 1770932055
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.