Organization Active NPI

Precious Resources, Inc.

  • Early Intervention Provider Agency
  • Stockbridge, GA
National Provider Identifier
1306092291
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
PRECIOUS RESOURCES, INC.
Practice address
3050 Union Church Rd SW
Stockbridge, GA 30281-5430
Phone
(770) 860-9588
Fax
(770) 860-0120
NPI assigned
Aug 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Terri Dickinson, PTNPI 1275602930
Title
Owner/President
Phone
(770) 860-9588

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
Early Intervention Provider Agency 252Y00000X GA Primary

Addresses

Primary practice location

3050 Union Church Rd SW
Stockbridge, GA 30281-5430

Mailing address

3050 Union Church Rd SW
Stockbridge, GA 30281-5430
Phone (770) 860-9588

Other identifiers 1

IdentifierTypeStateIssuer
549602908AMedicaidGA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1306092291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 UNION CHURCH RD SW",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815430",
            "telephone_number": "770-860-9588",
            "fax_number": "770-860-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 UNION CHURCH RD SW",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815430",
            "telephone_number": "770-860-9588",
            "fax_number": "770-860-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECIOUS RESOURCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "DICKINSON",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "770-860-9588",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "549602908A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.