NPIMap

Organization Active NPI

New Age Familiy Institute, LLC

  • Family Medicine Physician
  • Atlanta, GA
National Provider Identifier
1386896645
Registry record updated Oct 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
NEW AGE FAMILIY INSTITUTE, LLC
Practice address
1965 N Park PL SE
Atlanta, GA 30339-2001
Phone
(678) 732-6873
Fax
(678) 302-4483
NPI assigned
Oct 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2008

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

Authorized official

Name
Mr. Jack Kelsey
Title
Ceo
Phone
(678) 732-6873

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1965 N Park PL SE
Atlanta, GA 30339-2001

Mailing address

1965 N Park PL SE
Atlanta, GA 30339-2001
Phone (678) 732-6873

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1386896645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 N PARK PL SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392001",
            "telephone_number": "678-732-6873",
            "fax_number": "678-302-4483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 N PARK PL SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303392001",
            "telephone_number": "678-732-6873",
            "fax_number": "678-302-4483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW AGE FAMILIY INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-17",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "KELSEY",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-732-6873",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; 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.