Organization Active NPI

Georgia Health Partners

  • Community/Behavioral Health Agency
  • Tucker, GA
National Provider Identifier
1376780361
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GEORGIA HEALTH PARTNERS
Practice address
100 Crescent Center Pkwy Ste 650
Tucker, GA 30084-7061
Phone
(678) 389-4856
NPI assigned
Jan 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Selester Stewart Jr.
Title
Ceo
Phone
(336) 399-2889

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

100 Crescent Center Pkwy Ste 650
Tucker, GA 30084-7061

Mailing address

100 Crescent Centre Parkway
Suite 650
Tucker, GA 30084
Phone (678) 389-4856

Other practice location 1

1311 Westbrook Plaza Dr Ste 109
Winston Salem, NC 27103-1327
Phone (336) 999-8856

Other names 1

  • North Carolina Health Partners Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120828000233 GA Part B Supplier - Clinic/Group Practice 3971750811 Receives reassigned benefits from 5 practitioners
Practice locations: Tucker, GA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2118995Georgia Health Partners, LLC100 Crescent Centre Parkway, Suite 650/655, Tucker, GA 30084Certificate of waiverSep 18, 2026

National Provider Directory

National Provider Directory

Locations

5240 Snapfinger Park Dr
Ste 140
Decatur, GA 30035
Phone (678) 389-4856

100 Crescent Center Pkwy
Ste 650
Tucker, GA 30084
Phone (470) 327-1820

Practitioners & affiliated clinicians

Practitioners 6

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": "1231804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1376780361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CRESCENT CENTRE PARKWAY",
            "address_2": "SUITE 650",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "30084",
            "telephone_number": "678-389-4856",
            "fax_number": "470-575-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CRESCENT CENTER PKWY STE 650",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300847061",
            "telephone_number": "678-389-4856"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1311 Westbrook Plaza Dr Ste 109",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271031327",
            "country_code": "US",
            "telephone_number": "336-999-8856",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GEORGIA HEALTH PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-13",
        "last_updated": "2025-09-02",
        "certification_date": "2025-07-25",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "SELESTER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-399-2889",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Carolina Health Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucker, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.