Organization Active NPI

Covid Mobile Services, LLC

  • Community Health Registered Nurse
  • Macon, GA
National Provider Identifier
1386396182
Registry record updated Jan 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
Legal business name
COVID MOBILE SERVICES, LLC
Practice address
111 Princess Anne Dr
Macon, GA 31211-7041
Phone
(478) 952-3520
NPI assigned
Jan 23, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2022

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

Authorized official

Name
Ms. Angela MilamNPI 1538811401
Title
President
Phone
(478) 952-3520

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
Community Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WC1500X Primary

Addresses

Primary practice location

111 Princess Anne Dr
Macon, GA 31211-7041

Mailing address

111 Princess Anne Dr
Macon, GA 31211-7041
Phone (478) 952-3520

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.covidmobileservices.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1642896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642896000000",
    "number": "1386396182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 PRINCESS ANNE DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312117041",
            "telephone_number": "478-952-3520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PRINCESS ANNE DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312117041",
            "telephone_number": "478-952-3520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVID MOBILE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-23",
        "last_updated": "2022-01-23",
        "certification_date": "2022-01-22",
        "status": "A",
        "authorized_official_last_name": "MILAM",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-952-3520",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.covidmobileservices.org",
            "affiliation": "N",
            "endpointDescription": "customerservice@covidmobileservices.org",
            "address_1": "111 Princess Anne Dr",
            "city": "Macon",
            "state": "GA",
            "country_code": "US",
            "postal_code": "312117041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2022; 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.