Organization Active NPI

New Vision Outreach Center Inc

  • Voluntary or Charitable Agency
  • Kennesaw, GA
National Provider Identifier
1497533426
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
Legal business name
NEW VISION OUTREACH CENTER INC
Practice address
3070 N Main St NW
Kennesaw, GA 30144-2756
Phone
(770) 317-2421
NPI assigned
Sep 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Mrs. Terri Gibson
Title
Coordinator
Phone
(770) 317-2421

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X Primary

Addresses

Primary practice location

3070 N Main St NW
Kennesaw, GA 30144-2756

Mailing address

3070 N Main St NW
Kennesaw, GA 30144-2756
Phone (770) 317-2421

Other names 1

  • NVOC Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1497533426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 N MAIN ST NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442756",
            "telephone_number": "770-317-2421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 N MAIN ST NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442756",
            "telephone_number": "770-317-2421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW VISION OUTREACH CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "COORDINATOR",
        "authorized_official_telephone_number": "770-317-2421",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NVOC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.