Organization Active NPI

One on One Case Management Services

  • Preferred Provider Organization
  • Lithonia, GA
National Provider Identifier
1508255308
Registry record updated Jan 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
00237982 Issued in GA
Legal business name
ONE ON ONE CASE MANAGEMENT SERVICES
Practice address
3568 Eagle Rise
Lithonia, GA 30038-3531
Phone
(404) 823-8229
NPI assigned
Jan 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2015

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

Authorized official

Name
Mrs. Ada V Benton
Title
Owner
Phone
(404) 823-8229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 00237982 GA Primary

Addresses

Primary practice location

3568 Eagle Rise
Lithonia, GA 30038-3531

Mailing address

3568 Eagle Rise
Lithonia, GA 30038-3531
Phone (404) 823-8229

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1421366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421366400000",
    "number": "1508255308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3568 EAGLE RISE",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300383531",
            "telephone_number": "404-823-8229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3568 EAGLE RISE",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300383531",
            "telephone_number": "404-823-8229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE ON ONE CASE MANAGEMENT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-16",
        "last_updated": "2015-01-16",
        "status": "A",
        "authorized_official_last_name": "BENTON",
        "authorized_official_first_name": "ADA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-823-8229",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "GA",
            "license": "00237982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithonia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2015; 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.