NPIMap

Organization Active NPI

Sea Joy Family Service

  • Community/Behavioral Health Agency
  • Decatur, GA
National Provider Identifier
1376879577
Registry record updated Oct 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
926894182A Issued in GA
Legal business name
SEA JOY FAMILY SERVICE
Practice address
2851 Candler Rd
Suite 205
Decatur, GA 30034-1416
Phone
(770) 374-7268
NPI assigned
Oct 22, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2009

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

Authorized official

Name
Mrs. Erica Watford
Title
Executive Director
Phone
(770) 374-7268

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 926894182A GA Primary

Addresses

Primary practice location

2851 Candler Rd
Suite 205
Decatur, GA 30034-1416

Mailing address

2851 Candler Rd
Suite 205
Decatur, GA 30034-1416

Other identifiers 1

IdentifierTypeStateIssuer
926894182AMedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
Sea Joy Family Service2 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.

NPI Registry JSON

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

{
    "created_epoch": "1256169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256169600000",
    "number": "1376879577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2851 CANDLER RD",
            "address_2": "SUITE 205",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300341416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2851 CANDLER RD",
            "address_2": "SUITE 205",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300341416",
            "telephone_number": "770-374-7268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA JOY FAMILY SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-22",
        "last_updated": "2009-10-22",
        "status": "A",
        "authorized_official_last_name": "WATFORD",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "770-374-7268",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "926894182A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "926894182A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2009; 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.