Organization Active NPI

Quality Medical Management Services LLC

  • Specialist
  • Woodstock, GA
National Provider Identifier
1497060016
Registry record updated Aug 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
QUALITY MEDICAL MANAGEMENT SERVICES LLC
Practice address
1112 Dunedin TRL
Woodstock, GA 30188-3657
Phone
(770) 591-8360
Fax
(770) 591-8430
NPI assigned
Aug 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2010

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

Authorized official

Name
Mr. Lionel Terry Johnson, CE, SQE
Title
Ceo
Phone
(678) 697-3100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

1112 Dunedin TRL
Woodstock, GA 30188-3657

Mailing address

1112 Dunedin TRL
Woodstock, GA 30188-3657
Phone (770) 591-8360

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281312000000",
    "number": "1497060016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 DUNEDIN TRL",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883657",
            "telephone_number": "770-591-8360",
            "fax_number": "770-591-8430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 DUNEDIN TRL",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883657",
            "telephone_number": "770-591-8360",
            "fax_number": "770-591-8430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY MEDICAL MANAGEMENT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-09",
        "last_updated": "2010-08-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LIONEL",
        "authorized_official_middle_name": "TERRY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-697-3100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CE, SQE"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2010; 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.