Active NPI
Stepping Stone of Atlanta
- Community/Behavioral Health Agency
- Atlanta, GA
National Provider Identifier
1497086656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 136933
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 359171090A | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
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.