NPIMap

Organization Active NPI

Americanwork, Inc.

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Martinez, GA
National Provider Identifier
1396016887
Registry record updated Jan 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X
License
CLA000686 Issued in GA
Legal business name
AMERICANWORK, INC.
Practice address
352 Paces Ferry Rd
Martinez, GA 30907-9720
Phone
(706) 651-7400
NPI assigned
Jan 16, 2012
Last updated
Jan 16, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2012

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

Authorized official

Name
Mr. William Kenneth Whiddon
Title
Coo
Phone
(912) 638-0350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X CLA000686 GA Primary

Addresses

Primary practice location

352 Paces Ferry Rd
Martinez, GA 30907-9720

Mailing address

PO Box 20664
St Simons Island, GA 31522-0264
Phone (912) 638-0350

Other identifiers 1

IdentifierTypeStateIssuer
000902063ACMedicaidGA

Other names 1

  • AmericanWork, Inc. Paces Ferry GH Other name

National Provider Directory

National Provider Directory
Tax ID family
Americanwork LLC37 organizations share this tax ID, including this one

Other organizations with this tax ID 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1326672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326672000000",
    "number": "1396016887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20664",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315220264",
            "telephone_number": "912-638-0350",
            "fax_number": "912-638-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 PACES FERRY RD",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309079720",
            "telephone_number": "706-651-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICANWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-16",
        "last_updated": "2012-01-16",
        "status": "A",
        "authorized_official_last_name": "WHIDDON",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "KENNETH",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "912-638-0350",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "GA",
            "license": "CLA000686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000902063AC",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AmericanWork, Inc. Paces Ferry GH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Martinez, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2012; 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.