Organization Active NPI

Community Care Pathway, LLC

  • Community Health Worker
  • Johns Creek, GA
National Provider Identifier
1568385409
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Legal business name
COMMUNITY CARE PATHWAY, LLC
Practice address
6470 E Johns Xing Ste 160
Johns Creek, GA 30097-1500
Phone
(770) 988-4956
Fax
(770) 988-4956
NPI assigned
Jul 30, 2026
Last updated
Jul 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Authorized official

Name
Koekland Thomas
Title
Founder
Phone
(770) 988-4956

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 172V00000X Primary

Addresses

Primary practice location

6470 E Johns Xing Ste 160
Johns Creek, GA 30097-1500

Mailing address

990 Peachtree Industrial Blvd Unit 1207
Suwanee, GA 30024-5209
Phone (770) 988-4956

National Provider Directory

National Provider Directory

Locations

990 Peachtree Industrial Blvd
Unit 1207
Suwanee, GA 30024

NPI Registry JSON

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

{
    "created_epoch": "1785369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785369600000",
    "number": "1568385409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 PEACHTREE INDUSTRIAL BLVD UNIT 1207",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300245209",
            "telephone_number": "770-988-4956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6470 E JOHNS XING STE 160",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300971500",
            "telephone_number": "770-988-4956",
            "fax_number": "770-988-4956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY CARE PATHWAY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-30",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "KOEKLAND",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "770-988-4956"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johns Creek, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; 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.