Active NPI
Family Center of South Dekalb, LLC
- Community/Behavioral Health Agency
- Decatur, GA
National Provider Identifier
1518101146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- FAMILY CENTER OF SOUTH DEKALB, LLC
- Practice address
- 5000 Snapfinger Woods Dr Ste C100
Suite C-100
Decatur, GA 30035-4057 - Phone
- (678) 418-0890
- Fax
- (678) 418-0892
- NPI assigned
- Apr 27, 2009
- Last updated
- Apr 27, 2009
- 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
- Dr. Makungu Akinyela, PH.D, LMFT
- Title
- Owner
- Phone
- (678) 418-0890
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NU | Primary |
Addresses
Primary practice location
5000 Snapfinger Woods Dr Ste C100
Suite C-100
Decatur, GA 30035-4057
Mailing address
5000 Snapfinger Woods Dr Ste C100
Suite C-100
Decatur, GA 30035-4057
Phone (678) 418-0890
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 967590362A | Medicaid | GA |
National Provider Directory
National Provider Directory- Tax ID family
- Family Center of South Dekalb LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Decatur, GA
- NPI 1700022571
Locations
5000 Snapfinger Woods Dr
Ste C100
Decatur, GA 30035
Phone (678) 418-0890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1240790400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1240790400000",
"number": "1518101146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5000 SNAPFINGER WOODS DR STE C100",
"address_2": "SUITE C-100",
"city": "DECATUR",
"state": "GA",
"postal_code": "300354057",
"telephone_number": "678-418-0890",
"fax_number": "678-418-0892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5000 SNAPFINGER WOODS DR STE C100",
"address_2": "SUITE C-100",
"city": "DECATUR",
"state": "GA",
"postal_code": "300354057",
"telephone_number": "678-418-0890",
"fax_number": "678-418-0892"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY CENTER OF SOUTH DEKALB, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-04-27",
"last_updated": "2009-04-27",
"status": "A",
"authorized_official_last_name": "AKINYELA",
"authorized_official_first_name": "MAKUNGU",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-418-0890",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D, LMFT"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "967590362A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Decatur, GA
- Kevin Falco, RBT
- Walter Z Falconer, M.D.
- Family and Children Preservation of Georgia, LLC
- Family Care Centers Trust
- Family Care Centers Trust (Family Care Decatur)
- Family Medical Center Urgent Care
- Family Practice of Atlanta LLC
- Family Practice of Atlanta Medical Group
- Family Solutions and Consultation Services, LLC
- Family's Matter
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.