Active NPI
Gencare Health and Caregiver Services LLC
- Family Nurse Practitioner
- Douglasville, GA
National Provider Identifier
1265069405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- GENCARE HEALTH AND CAREGIVER SERVICES LLC
- Practice address
- 7336 Westwood LN
Douglasville, GA 30134-1092 - Phone
- (850) 345-3311
- NPI assigned
- Mar 26, 2020
- 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
- Deaudrey Stokes Byrd, NP
- Title
- Administrator
- Phone
- (678) 523-9046
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
7336 Westwood LN
Douglasville, GA 30134-1092
Mailing address
7421 Douglas Blvd Ste N443
Douglasville, GA 30135-1564
Phone (678) 523-9046
National Provider Directory
National Provider DirectoryLocations
7421 Douglas Blvd
Ste N443
Douglasville, GA 30135
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
- Marietta, GA
- NPI 1851817886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585180800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1599091200000",
"number": "1265069405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7421 DOUGLAS BLVD STE N443",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301351564",
"telephone_number": "678-523-9046"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7336 WESTWOOD LN",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301341092",
"telephone_number": "850-345-3311"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GENCARE HEALTH AND CAREGIVER SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-03-26",
"last_updated": "2020-09-03",
"certification_date": "2020-09-03",
"status": "A",
"authorized_official_last_name": "BYRD",
"authorized_official_first_name": "DEAUDREY",
"authorized_official_middle_name": "STOKES",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "678-523-9046",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Douglasville, GA
- Cheryll Sue Gaver, CACII
- Tracy Lynnette Gazzola, LMT
- Kathleen Gearhart, PNP
- Joshua Dale Gebhardt, LMFT
- Gems Home Healthcare Community LL C
- General Surgical Associates, PC
- Genesis Anesthesia Services LLC
- Genesis Comprehensive Wellness Screenings, LLC
- Genesis Global Business Development, LLC
- Genesis Globe Nursing Care
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.