NPIMap

Organization Active NPI

Creative Case Management Services LLC

  • Case Management Agency
  • Dacula, GA
National Provider Identifier
1386338051
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
CREATIVE CASE MANAGEMENT SERVICES LLC
Practice address
280 Beckenham Walk Dr
Dacula, GA 30019-6898
Phone
(786) 680-2226
Fax
(678) 535-2963
NPI assigned
Jun 6, 2023
Last updated
Jun 6, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Authorized official

Name
Latonia WellsNPI 1427680081
Title
Owner
Phone
(678) 668-0222

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
Case Management Agency 251B00000X NU Primary

Addresses

Primary practice location

280 Beckenham Walk Dr
Dacula, GA 30019-6898

Mailing address

280 Beckenham Walk Dr
Dacula, GA 30019-6898
Phone (786) 680-2226

National Provider Directory

National Provider Directory

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": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1386338051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 BECKENHAM WALK DR",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300196898",
            "telephone_number": "786-680-2226",
            "fax_number": "678-535-2963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 BECKENHAM WALK DR",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300196898",
            "telephone_number": "786-680-2226",
            "fax_number": "678-535-2963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATIVE CASE MANAGEMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "LATONIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-668-0222"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dacula, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.