NPIMap

Organization Active NPI

Primus Twinflower Road

  • Developmental Disabilities Clinic/Center
  • Albany, GA
National Provider Identifier
1447527361
Registry record updated Nov 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
PRIMUS TWINFLOWER ROAD
Practice address
3313 Twinflower Rd
Albany, GA 31701-7509
Phone
(229) 430-0416
NPI assigned
Nov 21, 2011
Last updated
Nov 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2011

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

Authorized official

Name
David Baranko
Title
Cfo
Phone
(229) 430-0416

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X NU Primary

Addresses

Primary practice location

3313 Twinflower Rd
Albany, GA 31701-7509

Mailing address

3313 Twinflower Rd
Albany, GA 31701-7509

National Provider Directory

National Provider Directory
Tax ID family
Albany Area Community SVC B33 organizations share this tax ID, including this one

Other organizations with this tax ID 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1321833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321833600000",
    "number": "1447527361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3313 TWINFLOWER RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317017509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3313 TWINFLOWER RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317017509",
            "telephone_number": "229-430-0416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMUS TWINFLOWER ROAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-21",
        "last_updated": "2011-11-21",
        "status": "A",
        "authorized_official_last_name": "BARANKO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "229-430-0416"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.