NPIMap

Organization Active NPI

Star Family Healthcare and Wellness Center

  • Primary Care Nurse Practitioner
  • College Park, GA
National Provider Identifier
1346590221
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
RN145805 Issued in GA
Legal business name
STAR FAMILY HEALTHCARE AND WELLNESS CENTER
Practice address
5337 Old National Hwy
Suite 100
College Park, GA 30349-3208
Phone
(404) 767-7777
Fax
(404) 767-7770
NPI assigned
Sep 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Authorized official

Name
Helen UzokweNPI 1306018445
Title
Director
Phone
(770) 510-3766

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
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X RN145805 GA Primary

Addresses

Primary practice location

5337 Old National Hwy
Suite 100
College Park, GA 30349-3208

Mailing address

5337 Old National Hwy
Suite 100
College Park, GA 30349-3208
Phone (404) 767-7777

National Provider Directory

National Provider Directory
Tax ID family
Star Fam Healthcare Wellness2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

5337 Old National Hwy
Ste 100
College Park, GA 30349
Phone (404) 767-7777

507 N Expressway
Ste A
Griffin, GA 30223
Phone (678) 692-8991

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": "1347926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1346590221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5337 OLD NATIONAL HWY",
            "address_2": "SUITE 100",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303493208",
            "telephone_number": "404-767-7777",
            "fax_number": "404-767-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5337 OLD NATIONAL HWY",
            "address_2": "SUITE 100",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303493208",
            "telephone_number": "404-767-7777",
            "fax_number": "404-767-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STAR FAMILY HEALTHCARE AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-18",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "UZOKWE",
        "authorized_official_first_name": "HELEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "770-510-3766"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "RN145805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.