Advance Therapeutic Concepts of Mississippi, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ADVANCE THERAPEUTIC CONCEPTS OF MISSISSIPPI, INC.

Practice address

2795 Main St W
Suite 20B
Snellville, GA 30078-3164

Phone

(678) 344-7836

Fax

(678) 892-8575

NPI assigned

Feb 10, 2017

Last updated

Feb 10, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Schantate O Johnson, LMSWNPI 1275830523

Title

Ceo

Phone

(678) 344-7836

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Schantate Johnson, LMSW

  • Social Worker
  • College Park, GA
  • NPI 1275830523
  Authorized official Same address or phone

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

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486684800000",
    "number": "1477091353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2795 MAIN ST W",
            "address_2": "SUITE 20B",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783164",
            "telephone_number": "678-344-7836",
            "fax_number": "678-892-8575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2795 MAIN ST W",
            "address_2": "SUITE 20B",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300783164",
            "telephone_number": "678-344-7836",
            "fax_number": "678-892-8575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE THERAPEUTIC CONCEPTS OF MISSISSIPPI, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-10",
        "last_updated": "2017-02-10",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "SCHANTATE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-344-7836",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kolawole J Adeyeye
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• Gerald Paige Adler, M.D.
• Adonai Transportation Inc (Adonai Transportation)
• Advance Pain Center LLC
• Advance Therapeutic Concepts, Inc.
• Advance Therapeutic Concepts, Inc.
• Advanced Care Providers, LLC
• Advanced Physical Therapy East LTD
• Advanced Physical Therapy East LTD

• Community/Behavioral Health Agency in Snellville, GA
• Providers in Snellville, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; 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.