Active NPI
The Heal Campaign Inc
- Primary Care Clinic/Center
- Rome, GA
National Provider Identifier
1558943563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- THE HEAL CAMPAIGN INC
- Practice address
- 909 N 5TH Ave NE
Rome, GA 30165-2706 - Phone
- (404) 457-3304
- NPI assigned
- Apr 28, 2021
- 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
- Frank Lawrence III, MPH
- Title
- Co-Ffounder
- Phone
- (404) 457-3304
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Primary |
Addresses
Primary practice location
909 N 5TH Ave NE
Rome, GA 30165-2706
Mailing address
3344 Peachtree Rd NE Ste 800
Atlanta, GA 30326-4807
Phone (404) 457-3304
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821364811 | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
3344 Peachtree Rd NE
Ste 800
Atlanta, GA 30326
Phone (770) 212-0015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619568000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1619568000000",
"number": "1558943563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3344 PEACHTREE RD NE STE 800",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303264807",
"telephone_number": "404-457-3304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "909 N 5TH AVE NE",
"city": "ROME",
"state": "GA",
"postal_code": "301652706",
"telephone_number": "404-457-3304"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE HEAL CAMPAIGN INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-28",
"last_updated": "2021-04-28",
"certification_date": "2021-04-28",
"status": "A",
"authorized_official_last_name": "LAWRENCE",
"authorized_official_first_name": "FRANK",
"authorized_official_title_or_position": "CO-FFOUNDER",
"authorized_official_telephone_number": "404-457-3304",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "MPH"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1821364811",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rome, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.