Beyond Your Ordinary, Inc.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

BEYOND YOUR ORDINARY, INC.

Doing business as

Beyond Your Ordinary Treatment Center

Practice address

97 Atlanta St Ste 100
McDonough, GA 30253-2192

Phone

(336) 268-6469

NPI assigned

Apr 22, 2020

Last updated

Aug 12, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mya Cullins, MS, MAT SPECIALISTNPI 1790038685

Title

Ceo

Phone

(336) 268-6469

Specialties & licenses 2

Addresses

Other names 1

• Beyond Your Ordinary Treatment Center Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 3

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.

• Miles Johnson, M.D.

  • Family Medicine Physician
  • Fayetteville, GA
  • NPI 1568419844
  Medicare reassignment NPD
• Mya S Cullins, MS, LCASA

  • Mental Health Counselor
  • Greensboro, NC
  • NPI 1790038685
  NPD Authorized official
• Valerie Joy Bohland, D.C.

  • Independent Medical Examiner Chiropractor
  • McDonough, GA
  • NPI 1740368182

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597190400000",
    "number": "1396365094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 ATLANTA ST STE 100",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302532192",
            "telephone_number": "336-268-6469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 ATLANTA ST STE 100",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302532192",
            "telephone_number": "336-268-6469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND YOUR ORDINARY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-08-12",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "CULLINS",
        "authorized_official_first_name": "MYA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "336-268-6469",
        "authorized_official_credential": "MS, MAT SPECIALIST"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beyond Your Ordinary Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Beyond Your Ordinary Treatment Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Multi-Specialty Clinic/Center in McDonough, GA
• Providers in McDonough, GA by specialty
• Multi-Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.