Active NPI
Dorothy Coleman, CEO
- Home Health Agency
- Jackson, GA
National Provider Identifier
1447971528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 169 Dempsey Ave Ste 2a
Jackson, GA 30233-2019 - Phone
- (770) 758-0080
- Fax
- (770) 775-7760
- NPI assigned
- Sep 7, 2022
- Last updated
- Nov 15, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
169 Dempsey Ave Ste 2a
Jackson, GA 30233-2019
Mailing address
PO Box 1355
Jackson, GA 30233-0027
Phone (770) 758-0080
Electronic endpoints 5
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | dorothy.coleman67@yahoo.com | Direct | |
| CONNECT URL | dorothy.coleman67@yahoo.com | Direct | |
| CONNECT URL | dorothy.coleman67@yahoo.com | Direct | |
| CONNECT URL | dorothy.coleman67@yahoo.com | Direct | |
| CONNECT URL | dorothy.coleman67@yahoo.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668470400000",
"number": "1447971528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1355",
"city": "JACKSON",
"state": "GA",
"postal_code": "302330027",
"telephone_number": "770-758-0080",
"fax_number": "770-775-7760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "169 DEMPSEY AVE STE 2A",
"city": "JACKSON",
"state": "GA",
"postal_code": "302332019",
"telephone_number": "770-758-0080",
"fax_number": "770-775-7760"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "DOROTHY",
"credential": "CEO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-07",
"last_updated": "2022-11-15",
"certification_date": "2022-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "dorothy.coleman67@yahoo.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "169 Dempsey Ave Ste 2A",
"city": "Jackson",
"state": "GA",
"country_code": "US",
"postal_code": "302332019",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "dorothy.coleman67@yahoo.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "169 Dempsey Ave Ste 2A",
"city": "Jackson",
"state": "GA",
"country_code": "US",
"postal_code": "302332019",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "dorothy.coleman67@yahoo.com",
"affiliation": "N",
"endpointDescription": "home healthcare",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "169 Dempsey Ave Ste 2A",
"city": "Jackson",
"state": "GA",
"country_code": "US",
"postal_code": "302332019",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "dorothy.coleman67@yahoo.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "169 Dempsey Ave Ste 2A",
"city": "Jackson",
"state": "GA",
"country_code": "US",
"postal_code": "302332019",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "dorothy.coleman67@yahoo.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "169 Dempsey Ave Ste 2A",
"city": "Jackson",
"state": "GA",
"country_code": "US",
"postal_code": "302332019",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Jackson, GA
- Butts County Board of Health (Butts County Health Department)
- Butts County Boe
- Angela Michelle Cain, FNP-C
- Carol M. Odegaard, MD, PC
- Central Hospice, LLC
- Creative Hospice Care, Inc (Traditions Health)
- Crosspointe Counseling Center
- Carol Ann Crutcher-Dubose, COTA/L
- Elisa Culliton, LMSW
- D.Keith Fortson,D.M.D.,P.C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.