Group Service Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GROUP SERVICE INC

Practice address

1426 E NC Highway 54
Durham, NC 27713-2469

Phone

(919) 822-2172

NPI assigned

Mar 31, 2011

Organization subpart

No

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

Authorized official

Name

Antonio Fozard

Title

Ceo

Phone

(919) 697-6957

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Group Service Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Group Service Inc

  • Psychiatry Physician
  • Erwin, NC
  • NPI 1144505504
  NPD tax ID

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1518256502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12821",
            "city": "RTP",
            "state": "NC",
            "postal_code": "277092821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 E NC HIGHWAY 54",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277132469",
            "telephone_number": "919-822-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUP SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-31",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "FOZARD",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-697-6957"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NOT YET ASSIGNED",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leigh Ellen Grossfeld
• Samuel M Grossinger, PA
• Justine Alexandra Grosso, PSYD
• Grounded Lactation
• Grounded Resilience Counseling PLLC
• Groupservice
• Jeremy Grove
• Karen Elizabeth Grove, M.D.
• Surah Grumet, MD
• Brian Herman Grunert, D.D.S.

• Community/Behavioral Health Agency in Durham, NC
• Providers in Durham, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.