Organization Active NPI

Mindspring Health Inc.

  • Psychiatry Physician
  • Atlanta, GA
National Provider Identifier
1508501206
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
MINDSPRING HEALTH INC.
Practice address
1074 Ponce de Leon Ave NE
Atlanta, GA 30306-4216
Phone
(404) 618-1854
NPI assigned
Apr 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Authorized official

Name
Dr. Ahmad Umair Janjua, MD
Title
Ceo
Phone
(404) 618-1854

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1074 Ponce de Leon Ave NE
Atlanta, GA 30306-4216

Mailing address

1209 Thorncliff CT
Lawrenceville, GA 30044-8139
Phone (404) 618-1854

National Provider Directory

National Provider Directory

Locations

2299 Lawrenceville Hwy
Lawrenceville, GA 30044
Phone (404) 500-6162

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1651104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1508501206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 THORNCLIFF CT",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300448139",
            "telephone_number": "404-618-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1074 PONCE DE LEON AVE NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303064216",
            "telephone_number": "404-618-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDSPRING HEALTH INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-28",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "JANJUA",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_middle_name": "UMAIR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-618-1854",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 12, 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.