Georgia Life Services, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GEORGIA LIFE SERVICES, INC

Practice address

240 Peachtree St NW BSMT Bo56193
Atlanta, GA 30303-1302

Phone

(770) 744-4065

NPI assigned

Aug 25, 2023

Organization subpart

No

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

Authorized official

Name

Ronn Ross

Title

Director

Phone

(404) 668-6888

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1692921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692921600000",
    "number": "1487439709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 56193",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303430193",
            "telephone_number": "770-744-4065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 PEACHTREE ST NW BSMT BO56193",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303031302",
            "telephone_number": "770-744-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA LIFE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-25",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "RONN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-668-6888"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia Integrated Behavioral Healthcare
• Georgia Interventional and Vascular Specialists, PC
• Georgia IV Therapy Services, LLC
• Georgia Kidney Care Center
• Georgia Life Links
• Georgia Litho Group LLLP
• Georgia Luna Care Physical Therapy LLC
• Georgia Maternal Fetal Medicine
• Georgia Medical EMS LP
• Georgia Medical Provider Financial Corporation

• Community/Behavioral Health Agency in Atlanta, GA
• Providers in Atlanta, 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 Aug 25, 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.