Organization Active NPI

PMR Health Care Agency LLC

  • Home Health Agency
  • Milledgeville, GA
National Provider Identifier
1275288656
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PMR HEALTH CARE AGENCY LLC
Practice address
200 Southside Dr SE
Milledgeville, GA 31061-4375
Phone
(470) 307-7358
NPI assigned
Feb 15, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Authorized official

Name
Marquita Yashica Johnson
Title
Coo/Administrator
Phone
(470) 307-7358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

200 Southside Dr SE
Milledgeville, GA 31061-4375

Mailing address

173 Highview Rd SE
Milledgeville, GA 31061-8187
Phone (470) 307-7358

Other practice location 1

173 Highview Rd SE
Milledgeville, GA 31061-8187
Phone (470) 307-7358

Other names 1

  • PMR Health Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL pmrhealthcaresolutions.com Direct

National Provider Directory

National Provider Directory

Locations

200 Southside Dr SE
Milledgeville, GA 31061
Phone (470) 307-7358

NPI Registry JSON

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644883200000",
    "number": "1275288656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 HIGHVIEW RD SE",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310618187",
            "telephone_number": "470-307-7358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SOUTHSIDE DR SE",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310614375",
            "telephone_number": "470-307-7358"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "173 Highview Rd SE",
            "address_purpose": "LOCATION",
            "city": "Milledgeville",
            "state": "GA",
            "postal_code": "310618187",
            "country_code": "US",
            "telephone_number": "470-307-7358",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PMR HEALTH CARE AGENCY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-15",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARQUITA",
        "authorized_official_middle_name": "YASHICA",
        "authorized_official_title_or_position": "COO/ADMINISTRATOR",
        "authorized_official_telephone_number": "470-307-7358"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pmrhealthcaresolutions.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "173 Highview Rd SE",
            "city": "Milledgeville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "310618187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "PMR Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Milledgeville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.