NPIMap

Organization Active NPI

Fulton County Mhddad

  • Community/Behavioral Health Agency
  • Atlanta, GA
National Provider Identifier
1285700682
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FULTON COUNTY MHDDAD
Practice address
475 Fairburn Rd SW
Atlanta, GA 30331-1907
Phone
(404) 691-9627
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Latangela Kendrick
Title
HR Specialist
Phone
(404) 730-0239

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

475 Fairburn Rd SW
Atlanta, GA 30331-1907

Mailing address

475 Fairburn Rd SW
Atlanta, GA 30331-1907
Phone (404) 691-9627

Other names 1

  • West Mental Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fulton County Mhddad16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

Practitioners & affiliated clinicians

Practitioners 83

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 83

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285700682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 FAIRBURN RD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303311907",
            "telephone_number": "404-691-9627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 FAIRBURN RD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303311907",
            "telephone_number": "404-691-9627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON COUNTY MHDDAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KENDRICK",
        "authorized_official_first_name": "LATANGELA",
        "authorized_official_title_or_position": "HR SPECIALIST",
        "authorized_official_telephone_number": "404-730-0239"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Mental Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.