Organization Active NPI

Perfect Pieces Autism Center, LLC

  • Developmental Disabilities Clinic/Center
  • Riverdale, GA
National Provider Identifier
1285204495
Registry record updated Jun 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
PERFECT PIECES AUTISM CENTER, LLC
Practice address
8455 Highway 85 Ste B
Riverdale, GA 30274-5115
Phone
(336) 442-5550
NPI assigned
Jun 29, 2021
Last updated
Jun 29, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2021

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

Authorized official

Name
Ms. Deborah DouglassNPI 1811578248
Title
Ceo
Phone
(336) 442-5550

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
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

8455 Highway 85 Ste B
Riverdale, GA 30274-5115

Mailing address

8455 Highway 85 Ste B
Riverdale, GA 30274-5115
Phone (336) 442-5550

National Provider Directory

National Provider Directory

Locations

8455 Highway 85
Ste B
Riverdale, GA 30274
Phone (336) 442-5550

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624924800000",
    "number": "1285204495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8455 HIGHWAY 85 STE B",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302745115",
            "telephone_number": "336-442-5550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8455 HIGHWAY 85 STE B",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302745115",
            "telephone_number": "336-442-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT PIECES AUTISM CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-29",
        "certification_date": "2021-06-29",
        "status": "A",
        "authorized_official_last_name": "DOUGLASS",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-442-5550",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2021; 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.