Organization Active NPI

Melange Health Solutions

  • Community/Behavioral Health Agency
  • Smyrna, GA
National Provider Identifier
1467727230
Registry record updated Mar 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MELANGE HEALTH SOLUTIONS
Practice address
3188 Atlanta Rd SE
Smyrna, GA 30080-8256
Phone
(770) 319-6000
Fax
(770) 319-6330
NPI assigned
Mar 13, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2012

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

Authorized official

Name
Mr. Gardner Lorenzo Hawkins
Title
Principal
Phone
(704) 567-8690

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3188 Atlanta Rd SE
Smyrna, GA 30080-8256

Mailing address

145 Scaleybark Rd Ste B
Charlotte, NC 28209-2682
Phone (704) 567-8690

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331596800000",
    "number": "1467727230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 SCALEYBARK RD STE B",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092682",
            "telephone_number": "704-567-8690",
            "fax_number": "704-536-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3188 ATLANTA RD SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300808256",
            "telephone_number": "770-319-6000",
            "fax_number": "770-319-6330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MELANGE HEALTH SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-13",
        "last_updated": "2012-03-13",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "GARDNER",
        "authorized_official_middle_name": "LORENZO",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "704-567-8690",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.