Organization Active NPI

Sequence to Health

  • General Practice Physician
  • Duluth, GA
National Provider Identifier
1548613987
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
SEQUENCE TO HEALTH
Practice address
3790 Pleasant Hill Road
Suite 260
Duluth, GA 30096-5147
Phone
(770) 855-3229
NPI assigned
Jul 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

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

Authorized official

Name
Stacey Fears, NPNPI 1922358027
Title
Owner
Phone
(770) 855-3229

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

3790 Pleasant Hill Road
Suite 260
Duluth, GA 30096-5147

Mailing address

3790 Pleasant Hill Road
Suite 260
Duluth, GA 30096-5147
Phone (770) 855-3229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161024000567 GA Part B Supplier - Clinic/Group Practice 8325326556 Receives reassigned benefits from 1 practitioner
Practice locations: Lilburn, GA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the 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.

NPI Registry JSON

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475712000000",
    "number": "1548613987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3790 PLEASANT HILL ROAD",
            "address_2": "SUITE 260",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965147",
            "telephone_number": "770-855-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3790 PLEASANT HILL ROAD",
            "address_2": "SUITE 260",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300965147",
            "telephone_number": "770-855-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEQUENCE TO HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-21",
        "last_updated": "2016-10-06",
        "status": "A",
        "authorized_official_last_name": "FEARS",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-855-3229",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.