Organization Active NPI

Crosslinks Family Practice & Rehab., LLC

  • Family Medicine Physician
  • Snellville, GA
National Provider Identifier
1457602989
Registry record updated Sep 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CROSSLINKS FAMILY PRACTICE & REHAB., LLC
Practice address
3300 Centerville Hwy
Ste 1301
Snellville, GA 30039-5994
Phone
(404) 597-2527
NPI assigned
Sep 24, 2012
Last updated
Sep 24, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2012

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

Authorized official

Name
Mrs. Alicia Ash
Title
C.E.O/Practice Administrator
Phone
(404) 597-2527

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

3300 Centerville Hwy
Ste 1301
Snellville, GA 30039-5994

Mailing address

PO Box 390005
Snellville, GA 30039-0001
Phone (404) 597-2527

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348444800000",
    "number": "1457602989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 390005",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300390001",
            "telephone_number": "404-597-2527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 CENTERVILLE HWY",
            "address_2": "STE 1301",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300395994",
            "telephone_number": "404-597-2527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSLINKS FAMILY PRACTICE & REHAB., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-24",
        "last_updated": "2012-09-24",
        "status": "A",
        "authorized_official_last_name": "ASH",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "C.E.O/PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "404-597-2527",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; 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.