NPIMap

Organization Active NPI

Populations and Interventions Team Company (Pitc)

  • Public Health & General Preventive Medicine Physician
  • Douglasville, GA
National Provider Identifier
1285144568
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
40044 Issued in KS
Legal business name
POPULATIONS AND INTERVENTIONS TEAM COMPANY (PITC)
Practice address
3182 Berthas Overlook
Douglasville, GA 30135-8458
Phone
(678) 310-9707
NPI assigned
Oct 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Authorized official

Name
Dr. Mercedes Merritt Williams, DBH, MPH, ABVE, CCMNPI 1952820086
Title
Ceo/Owner
Phone
(678) 310-9707

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
Public Health & General Preventive Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2083P0901X 40044 KS Primary

Addresses

Primary practice location

3182 Berthas Overlook
Douglasville, GA 30135-8458

Mailing address

3182 Berthas Overlook
Douglasville, GA 30135-8458
Phone (404) 512-0073

National Provider Directory

National Provider Directory
Tax ID family
Populations and Interventions Team Company7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

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": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524700800000",
    "number": "1285144568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3182 BERTHAS OVERLOOK",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301358458",
            "telephone_number": "404-512-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3182 BERTHAS OVERLOOK",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301358458",
            "telephone_number": "678-310-9707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POPULATIONS AND INTERVENTIONS TEAM COMPANY (PITC)",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-02",
        "last_updated": "2018-04-26",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MERCEDES",
        "authorized_official_middle_name": "MERRITT",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "678-310-9707",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DBH, MPH, ABVE, CCM"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "KS",
            "license": "40044",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 26, 2018; 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.