Organization Active NPI

The Ervin Academy, Inc

  • Community/Behavioral Health Agency
  • Buford, GA
National Provider Identifier
1477953354
Registry record updated Aug 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THE ERVIN ACADEMY, INC
Practice address
1872 Millwood Park CT
Buford, GA 30518-4400
Phone
(678) 394-0639
Fax
(678) 394-0638
NPI assigned
Aug 28, 2014
Last updated
Aug 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2014

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

Authorized official

Name
Mrs. Ingrid Ervin
Title
Founder & Ceo
Phone
(678) 394-0639

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Voluntary or Charitable Agency 251V00000X
Private Vehicle 347C00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1872 Millwood Park CT
Buford, GA 30518-4400

Mailing address

PO Box 2728
Suwanee, GA 30024-0984
Phone (678) 394-0639

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409184000000",
    "number": "1477953354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2728",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300240984",
            "telephone_number": "678-394-0639",
            "fax_number": "678-394-0638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1872 MILLWOOD PARK CT",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305184400",
            "telephone_number": "678-394-0639",
            "fax_number": "678-394-0638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ERVIN ACADEMY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A",
        "authorized_official_last_name": "ERVIN",
        "authorized_official_first_name": "INGRID",
        "authorized_official_title_or_position": "FOUNDER & CEO",
        "authorized_official_telephone_number": "678-394-0639",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "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 Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.