Organization Active NPI

Concord Pathways Institute, LLC

  • Peer Specialist
  • Douglasville, GA
National Provider Identifier
1265376966
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
CONCORD PATHWAYS INSTITUTE, LLC
Practice address
5903 Stewart Pkwy
Douglasville, GA 30135-2371
Phone
(404) 895-6563
NPI assigned
Apr 15, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Authorized official

Name
Corey Thomas, CPS CERTIFICATIONNPI 1942144613
Title
Director of Peer Support Services
Phone
(404) 895-6563

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
Peer SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 175T00000X Primary

Addresses

Primary practice location

5903 Stewart Pkwy
Douglasville, GA 30135-2371

Mailing address

5903 Stewart Pkwy
Douglasville, GA 30135-2371
Phone (404) 895-6563

Other identifiers 1

IdentifierTypeStateIssuer
1942144613OtherGAPEER SUPPORT SERVICES

National Provider Directory

National Provider Directory

Locations

5903 Stewart Pkwy
Douglasville, GA 30135
Phone (404) 895-6563

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": "1776211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776211200000",
    "number": "1265376966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5903 STEWART PKWY",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301352371",
            "telephone_number": "404-895-6563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5903 STEWART PKWY",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301352371",
            "telephone_number": "404-895-6563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORD PATHWAYS INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-15",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "DIRECTOR OF PEER SUPPORT SERVICES",
        "authorized_official_telephone_number": "404-895-6563",
        "authorized_official_credential": "CPS CERTIFICATION"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PEER SUPPORT SERVICES",
            "identifier": "1942144613",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; 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.