Active NPI
Human Services Management Group, Inc.
- Community/Behavioral Health Agency
- Fayetteville, GA
National Provider Identifier
1306168190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- HUMAN SERVICES MANAGEMENT GROUP, INC.
- Practice address
- 500 W Lanier Ave
Suite 408
Fayetteville, GA 30214-7636 - Phone
- (678) 961-8226
- Fax
- (678) 489-4915
- NPI assigned
- Feb 19, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Willie James Campbell Sr.
- Title
- Executive Director/Administrator
- Phone
- (678) 592-9454
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
500 W Lanier Ave
Suite 408
Fayetteville, GA 30214-7636
Mailing address
500 W Lanier Ave
Suite 408
Fayetteville, GA 30214-7636
Phone (678) 961-8226
National Provider Directory
National Provider DirectoryLocations
500 Lanier Ave W
Ste 408
Fayetteville, GA 30214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266537600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1266537600000",
"number": "1306168190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W LANIER AVE",
"address_2": "SUITE 408",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302147636",
"telephone_number": "678-961-8226",
"fax_number": "678-489-4915"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W LANIER AVE",
"address_2": "SUITE 408",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302147636",
"telephone_number": "678-961-8226",
"fax_number": "678-489-4915"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HUMAN SERVICES MANAGEMENT GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-19",
"last_updated": "2010-02-19",
"status": "A",
"authorized_official_last_name": "CAMPBELL",
"authorized_official_first_name": "WILLIE",
"authorized_official_middle_name": "JAMES",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR/ADMINISTRATOR",
"authorized_official_telephone_number": "678-592-9454",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.