NPIMap

Organization Active NPI

Georgia Palliative Services, LLC

  • Health Service Clinic/Center
  • Acworth, GA
National Provider Identifier
1447875307
Registry record updated Jun 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
GEORGIA PALLIATIVE SERVICES, LLC
Practice address
3660 Cedarcrest Rd Ste 120
Acworth, GA 30101-8928
Phone
(770) 599-2477
Fax
(678) 324-0548
NPI assigned
Jun 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2020

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

Authorized official

Name
Dr. Duriel Gray, MDNPI 1619170701
Title
Owner
Phone
(770) 599-2477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

3660 Cedarcrest Rd Ste 120
Acworth, GA 30101-8928

Mailing address

3660 Cedarcrest Rd Ste 120
Acworth, GA 30101-8928
Phone (770) 599-2477

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592265600000",
    "number": "1447875307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3660 CEDARCREST RD STE 120",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301018928",
            "telephone_number": "770-599-2477",
            "fax_number": "678-324-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3660 CEDARCREST RD STE 120",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301018928",
            "telephone_number": "770-599-2477",
            "fax_number": "678-324-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA PALLIATIVE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-16",
        "certification_date": "2020-06-16",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "DURIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-599-2477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2020; 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.