Choices for Life of Georgia, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

CPFC001072 Issued in GA

Legal business name

CHOICES FOR LIFE OF GEORGIA, LLC

Practice address

2080 Sugarloaf Pkwy
Lawrenceville, GA 30045-9401

Phone

(706) 494-1821

Fax

(706) 494-1989

NPI assigned

Jan 7, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Douglas Charles Fellrath, JD

Title

Ceo

Phone

(405) 751-0800

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Choices for Life of Georgia LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Choices for Life of Georgia, LLC

  • Community/Behavioral Health Agency
  • Columbus, GA
  • NPI 1164668596
  NPD tax ID
• Choices for Life of Georgia, LLC

  • Community/Behavioral Health Agency
  • Valdosta, GA
  • NPI 1841328960
  NPD tax ID

Locations

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

{
    "created_epoch": "1231286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231286400000",
    "number": "1437395860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 SUGARLOAF PKWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300459401",
            "telephone_number": "706-494-1821",
            "fax_number": "706-494-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 SUGARLOAF PKWY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300459401",
            "telephone_number": "706-494-1821",
            "fax_number": "706-494-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICES FOR LIFE OF GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-07",
        "last_updated": "2009-01-07",
        "status": "A",
        "authorized_official_last_name": "FELLRATH",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-751-0800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "CPFC001072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001462443A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julia Miyoung Choe, NP-C
• Gobong Choi, RPH
• Hong Jun Choi
• Jusong Choi, MD
• Choicemed Inc
• Da Chong, NP
• Nimra Choudhry, DO
• Mudit Chowdhary, MD
• Rachel Elizabeth Christian, PH.D.
• Sandra P Christie-Coleman, CPAM, MOT, OTR/L

• Community/Behavioral Health Agency in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; 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.