Orbexus Practitioners LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ORBEXUS PRACTITIONERS LLC

Practice address

3904 Welham Green CT
Douglasville, GA 30135-7236

Phone

(678) 666-2545

Fax

(678) 666-2444

NPI assigned

Sep 26, 2019

Last updated

Sep 26, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Cassaundra Angelina Burks, NLP PRACTITIONER, LCNPI 1487205753

Title

Practitioner

Phone

(678) 666-2545

Specialties & licenses 6

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cassaundra A Burks, DA,CPC,PCT,DH,MA,CET

  • Hemapheresis Practitioner
  • Douglasville, GA
  • NPI 1487205753
  NPD Authorized official

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569456000000",
    "number": "1265083539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3904 WELHAM GREEN CT",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301357236",
            "telephone_number": "678-666-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3904 WELHAM GREEN CT",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301357236",
            "telephone_number": "678-666-2545",
            "fax_number": "678-666-2444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORBEXUS PRACTITIONERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-26",
        "status": "A",
        "authorized_official_last_name": "BURKS",
        "authorized_official_first_name": "CASSAUNDRA",
        "authorized_official_middle_name": "ANGELINA",
        "authorized_official_title_or_position": "PRACTITIONER",
        "authorized_official_telephone_number": "678-666-2545",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NLP PRACTITIONER, LC"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://console.jumpcloud.com/#/groups/user/5d8d467245886d60ee5875f3/details",
            "affiliation": "N",
            "endpointDescription": "jumpcloud",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jumpcloud",
            "address_1": "3904 Welham Green Ct",
            "city": "Douglasville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301357236",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Community/Behavioral Health Agency in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; 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.