Organization Active NPI

Unique Minds, Inc.

  • Voluntary or Charitable Agency
  • Jonesboro, GA
National Provider Identifier
1407138563
Registry record updated Sep 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
UNIQUE MINDS, INC.
Practice address
409 Arrowhead Blvd
Suite C5
Jonesboro, GA 30236-1255
Phone
(770) 363-8350
NPI assigned
Sep 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2011

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

Authorized official

Name
Cynthia Jackson Jenkins, JD
Title
President & Ceo
Phone
(770) 363-8350

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X GA Primary

Addresses

Primary practice location

409 Arrowhead Blvd
Suite C5
Jonesboro, GA 30236-1255

Mailing address

409 Arrowhead Blvd
Suite C5
Jonesboro, GA 30236-1255

Other identifiers 1

IdentifierTypeStateIssuer
19911992MedicaidGA

Other names 1

  • Health & Wellness Center Doing business as

National Provider Directory

National Provider Directory

Locations

409 Arrowhead Blvd
Ste C5
Jonesboro, GA 30236
Phone (770) 363-8350

NPI Registry JSON

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1407138563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 ARROWHEAD BLVD",
            "address_2": "SUITE C5",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 ARROWHEAD BLVD",
            "address_2": "SUITE C5",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361255",
            "telephone_number": "770-363-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIQUE MINDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-15",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "JACKSON JENKINS",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "770-363-8350",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19911992",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Health & Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.