Organization Active NPI

Golden Generation LLC

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Martinez, GA
National Provider Identifier
1316374192
Registry record updated Oct 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
146305913A Issued in GA
Legal business name
GOLDEN GENERATION LLC
Practice address
351 Kings Bridge Rd
Martinez, GA 30907-9616
Phone
(706) 339-6749
NPI assigned
Oct 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2013

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

Authorized official

Name
Tonya Moyd, B.A. BUSINESSNPI 1265860951
Title
Administrator
Phone
(706) 339-6749

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 146305913A GA Primary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X 146305913B GA

Addresses

Primary practice location

351 Kings Bridge Rd
Martinez, GA 30907-9616

Mailing address

351 Kings Bridge Rd
Martinez, GA 30907-9616
Phone (706) 339-6749

National Provider Directory

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": "1381363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381363200000",
    "number": "1316374192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 KINGS BRIDGE RD",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309079616",
            "telephone_number": "706-339-6749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 KINGS BRIDGE RD",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309079616",
            "telephone_number": "706-339-6749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN GENERATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-10",
        "last_updated": "2013-10-10",
        "status": "A",
        "authorized_official_last_name": "MOYD",
        "authorized_official_first_name": "TONYA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "706-339-6749",
        "authorized_official_credential": "B.A. BUSINESS"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "GA",
            "license": "146305913A",
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "GA",
            "license": "146305913B",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinez, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.