NPIMap

Organization Active NPI

Positive Impact Health Centers, Inc

  • General Practice Dentistry
  • Duluth, GA
National Provider Identifier
1457135840
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
POSITIVE IMPACT HEALTH CENTERS, INC
Practice address
3350 Breckinridge Blvd Ste 200
Duluth, GA 30096-4959
Phone
(179) 086-1995
NPI assigned
Aug 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Authorized official

Name
Brace Jason Arnette
Title
Finance Manager
Phone
(770) 962-8396

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

3350 Breckinridge Blvd Ste 200
Duluth, GA 30096-4959

Mailing address

3350 Breckinridge Blvd Ste 200
Duluth, GA 30096-4959

National Provider Directory

National Provider Directory
Tax ID family
Positive Impact HLTH Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1457135840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 BRECKINRIDGE BLVD STE 200",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 BRECKINRIDGE BLVD STE 200",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964959",
            "telephone_number": "179-086-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POSITIVE IMPACT HEALTH CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "ARNETTE",
        "authorized_official_first_name": "BRACE",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "FINANCE MANAGER",
        "authorized_official_telephone_number": "770-962-8396"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; 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.