NPIMap

Organization Active NPI

Mind's Eye Enterprises, LLC

  • Preferred Provider Organization
  • Atlanta, GA
National Provider Identifier
1538559729
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
CSW003818 Issued in GA
Legal business name
MIND'S EYE ENTERPRISES, LLC
Practice address
455 E Paces Ferry Rd NE
Suite 332
Atlanta, GA 30305-3313
Phone
(404) 245-1344
Fax
(404) 352-5132
NPI assigned
Jan 27, 2015
Last updated
Jan 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Authorized official

Name
Donna Sewell, LCSWNPI 1225263239
Title
Owner
Phone
(404) 245-1344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X CSW003818 GA Primary

Addresses

Primary practice location

455 E Paces Ferry Rd NE
Suite 332
Atlanta, GA 30305-3313

Mailing address

1150 Collier Rd NW
Unit a-4
Atlanta, GA 30318-2941

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1538559729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 COLLIER RD NW",
            "address_2": "UNIT A-4",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182941",
            "fax_number": "404-352-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 E PACES FERRY RD NE",
            "address_2": "SUITE 332",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303053313",
            "telephone_number": "404-245-1344",
            "fax_number": "404-352-5132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND'S EYE ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-27",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "SEWELL",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-245-1344",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "GA",
            "license": "CSW003818",
            "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 27, 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.