Active NPI
Ducere Investment Group Inc
- Adolescent and Children Mental Health Clinic/Center
- McComb, MS
National Provider Identifier
1568984292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- Legal business name
- DUCERE INVESTMENT GROUP INC
- Practice address
- 1312B Harrison Ave
McComb, MS 39648-2830 - Phone
- (404) 565-0181
- Fax
- (866) 823-4725
- NPI assigned
- Jul 14, 2017
- 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
- Korede Akinbami
- Title
- Ceo
- Phone
- (404) 565-0181
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | MS | Primary |
Addresses
Primary practice location
1312B Harrison Ave
McComb, MS 39648-2830
Mailing address
530 Forest Pkwy Ste a
Forest Park, GA 30297-2188
Phone (404) 565-0181
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499990400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1499990400000",
"number": "1568984292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "530 FOREST PKWY STE A",
"city": "FOREST PARK",
"state": "GA",
"postal_code": "302972188",
"telephone_number": "404-565-0181",
"fax_number": "866-823-4725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1312B HARRISON AVE",
"city": "MCCOMB",
"state": "MS",
"postal_code": "396482830",
"telephone_number": "404-565-0181",
"fax_number": "866-823-4725"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUCERE INVESTMENT GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-14",
"last_updated": "2017-07-14",
"status": "A",
"authorized_official_last_name": "AKINBAMI",
"authorized_official_first_name": "KOREDE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "404-565-0181"
},
"taxonomies": [
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": "MS",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in McComb, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.