Active NPI
Unique Minds, Inc.
- Voluntary or Charitable Agency
- Jonesboro, GA
National Provider Identifier
1407138563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Voluntary or Charitable Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19911992 | Medicaid | GA |
Other names 1
- Health & Wellness Center
National Provider Directory
National Provider DirectoryLocations
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.