Organization Active NPI

Cnu Medical Institute

  • Health Maintenance Organization
  • Norcross, GA
National Provider Identifier
1588092613
Registry record updated Oct 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
302R00000X Issued in GA
Legal business name
CNU MEDICAL INSTITUTE
Practice address
5855 Jimmy Carter Blvd Ste 190
Norcross, GA 30071-4610
Phone
(678) 879-0721
NPI assigned
Oct 29, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2013

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

Authorized official

Name
Emelia Orubele
Title
Owner
Phone
(678) 879-0721

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 302R00000X GA Primary

Addresses

Primary practice location

5855 Jimmy Carter Blvd Ste 190
Norcross, GA 30071-4610

Mailing address

5855 Jimmy Carter Blvd Ste 190
Norcross, GA 30071-4610
Phone (678) 879-0721

National Provider Directory

National Provider Directory
Tax ID family
Cnu Medical Institute2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5855 Jimmy Carter Blvd
Ste 190
Norcross, GA 30071
Phone (678) 879-0721

NPI Registry JSON

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

{
    "created_epoch": "1383004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383004800000",
    "number": "1588092613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5855 JIMMY CARTER BLVD STE 190",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300714610",
            "telephone_number": "678-879-0721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5855 JIMMY CARTER BLVD STE 190",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300714610",
            "telephone_number": "678-879-0721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNU MEDICAL INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-29",
        "last_updated": "2013-10-29",
        "status": "A",
        "authorized_official_last_name": "ORUBELE",
        "authorized_official_first_name": "EMELIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-879-0721"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "GA",
            "license": "302R00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; 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.