Organization Active NPI

Stepping Stone of Atlanta

  • Community/Behavioral Health Agency
  • Atlanta, GA
National Provider Identifier
1497086656
Registry record updated Jan 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
136933 Issued in GA
Legal business name
STEPPING STONE OF ATLANTA
Practice address
2001 Martin Luther King Jr Dr SW
Suite 240
Atlanta, GA 30310-1101
Phone
(404) 564-6488
NPI assigned
Jan 27, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2010

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

Authorized official

Name
Ms. Shelly Melissa Crump
Title
Executive Director
Phone
(404) 564-6488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 136933 GA Primary

Addresses

Primary practice location

2001 Martin Luther King Jr Dr SW
Suite 240
Atlanta, GA 30310-1101

Mailing address

2001 Martin Luther King Jr Dr SW
Suite 240
Atlanta, GA 30310-1101
Phone (404) 564-6488

Other identifiers 1

IdentifierTypeStateIssuer
359171090AMedicaidGA

National Provider Directory

National Provider Directory

Locations

2001 Martin Luther King Jr Dr SW
Ste 240
Atlanta, GA 30310
Phone (404) 564-6488

NPI Registry JSON

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

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264550400000",
    "number": "1497086656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MARTIN LUTHER KING JR DR SW",
            "address_2": "SUITE 240",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101101",
            "telephone_number": "404-564-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MARTIN LUTHER KING JR DR SW",
            "address_2": "SUITE 240",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101101",
            "telephone_number": "404-564-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPPING STONE OF ATLANTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2010-01-27",
        "status": "A",
        "authorized_official_last_name": "CRUMP",
        "authorized_official_first_name": "SHELLY",
        "authorized_official_middle_name": "MELISSA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "404-564-6488",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "136933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "359171090A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 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.