Pma Gold Care

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

PMA GOLD CARE

Practice address

300 W I Pkwy Ste 307
Dallas, GA 30132-5101

Phone

(404) 822-1619

Fax

(404) 745-8556

NPI assigned

Aug 19, 2021

Last updated

May 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nancy Okoye

Title

Owner

Phone

(404) 822-1619

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1497421374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W I PKWY STE 307",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301325101",
            "telephone_number": "404-822-1619",
            "fax_number": "404-745-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W I PKWY STE 307",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301325101",
            "telephone_number": "404-822-1619",
            "fax_number": "404-745-8556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PMA GOLD CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-19",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "OKOYE",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-822-1619"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE NUMBER",
            "identifier": "051906819",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.