NPIMap

Organization Active NPI

Geralds Capital LLC

  • Case Manager/Care Coordinator
  • Suwanee, GA
National Provider Identifier
1366025652
Registry record updated Mar 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
GERALDS CAPITAL LLC
Practice address
2576 Lawrenceville Suwanee Rd
Suwanee, GA 30024-7290
Phone
(678) 731-7727
Fax
(678) 731-7741
NPI assigned
May 4, 2021
Last updated
Mar 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2023

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

Authorized official

Name
Mr. Daverin Geralds
Title
President
Phone
(225) 573-7378

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

2576 Lawrenceville Suwanee Rd
Suwanee, GA 30024-7290

Mailing address

340 Wildwood Lake CT
Suwanee, GA 30024-3230
Phone (225) 960-7419

Other practice location 1

4336 North Blvd Ste 204
Baton Rouge, LA 70806-3920
Phone (225) 960-7419

National Provider Directory

National Provider Directory

Locations

2576 Lawrenceville Suwanee Rd
Suwanee, GA 30024
Phone (678) 731-7727

Practitioners & affiliated clinicians

Practitioners 30

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.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678838400000",
    "number": "1366025652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 WILDWOOD LAKE CT",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300243230",
            "telephone_number": "225-960-7419",
            "fax_number": "225-960-7421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2576 LAWRENCEVILLE SUWANEE RD",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300247290",
            "telephone_number": "678-731-7727",
            "fax_number": "678-731-7741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4336 North Blvd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708063920",
            "country_code": "US",
            "telephone_number": "225-960-7419",
            "fax_number": "225-960-7421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GERALDS CAPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-04",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A",
        "authorized_official_last_name": "GERALDS",
        "authorized_official_first_name": "DAVERIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "225-573-7378",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.