Aging Successfully, LLC

Primary specialty

Military HospitalTaxonomy code 286500000X

License

RN134018 Issued in GA

Legal business name

AGING SUCCESSFULLY, LLC

Practice address

1035 Fielding Park CT NE
Atlanta, GA 30319-1989

Phone

(404) 202-5847

NPI assigned

Nov 23, 2010

Last updated

Jan 21, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James F. Lawrence, PH.D APRN BCNPI 1265430458

Title

President/Founder

Phone

(404) 202-5847

Specialties & licenses 2

Addresses

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.

• James F. Lawrence, PH.D. APRN BC

  • Nurse Practitioner
  • Decatur, GA
  • NPI 1265430458
  NPD (past) Authorized official

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

{
    "created_epoch": "1290470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358726400000",
    "number": "1326340480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1035 FIELDING PARK CT NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303191989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1035 FIELDING PARK CT NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303191989",
            "telephone_number": "404-202-5847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGING SUCCESSFULLY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-23",
        "last_updated": "2013-01-21",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT/FOUNDER",
        "authorized_official_telephone_number": "404-202-5847",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D APRN BC"
    },
    "taxonomies": [
        {
            "code": "286500000X",
            "taxonomy_group": "",
            "desc": "Military Hospital",
            "state": "GA",
            "license": "RN134018",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "RN134018",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Military Hospital in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Military Hospital in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.