NPIMap

Organization Active NPI

Connecticut General Life Insurance Company

  • Clinic/Center
  • McDonough, GA
National Provider Identifier
1376929216
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
Practice address
116 S Zack Hinton Pkwy
McDonough, GA 30253-3353
Phone
(877) 733-1710
NPI assigned
Aug 3, 2015
Last updated
Aug 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

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

Authorized official

Name
Stacey PopkoNPI 1326484395
Title
Medical Senior Director
Phone
(412) 747-4128

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

116 S Zack Hinton Pkwy
McDonough, GA 30253-3353

Mailing address

25500 N Norterra Dr
Phoenix, AZ 85085-8200
Phone (877) 733-1710

Other names 1

  • Cigna Onsite Health, LLC; Henry County Wellness Center Other name

National Provider Directory

National Provider Directory
Tax ID family
Cigna Onsite Health LLC38 organizations share this tax ID, including this one

Other organizations with this tax ID 37

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

View all 37

Locations

116 S Zack Hinton Pkwy
McDonough, GA 30253
Phone (877) 733-1710

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1438560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438560000000",
    "number": "1376929216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25500 N NORTERRA DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850858200",
            "telephone_number": "877-733-1710",
            "fax_number": "623-277-1091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 S ZACK HINTON PKWY",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533353",
            "telephone_number": "877-733-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT GENERAL LIFE INSURANCE COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-03",
        "last_updated": "2015-08-03",
        "status": "A",
        "authorized_official_last_name": "POPKO",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "MEDICAL SENIOR DIRECTOR",
        "authorized_official_telephone_number": "412-747-4128"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cigna Onsite Health, LLC; Henry County Wellness Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; 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.