Active NPI
Connections: Seminars & Consultations
- Case Manager/Care Coordinator
- Buford, GA
National Provider Identifier
1588917686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Legal business name
- CONNECTIONS: SEMINARS & CONSULTATIONS
- Practice address
- 2452 Lance Ridge Way
Buford, GA 30519-2295 - Phone
- (678) 622-3464
- NPI assigned
- Oct 26, 2012
- 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
- Ms. Marisol Mercado
- Title
- Owner
- Phone
- (678) 622-3464
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Primary |
Addresses
Primary practice location
2452 Lance Ridge Way
Buford, GA 30519-2295
Mailing address
2452 Lance Ridge Way
Buford, GA 30519-2295
Phone (678) 622-3464
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 192584442A | Medicaid | GA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351209600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1351209600000",
"number": "1588917686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2452 LANCE RIDGE WAY",
"city": "BUFORD",
"state": "GA",
"postal_code": "305192295",
"telephone_number": "678-622-3464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2452 LANCE RIDGE WAY",
"city": "BUFORD",
"state": "GA",
"postal_code": "305192295",
"telephone_number": "678-622-3464"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONNECTIONS: SEMINARS & CONSULTATIONS",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-26",
"last_updated": "2012-10-26",
"status": "A",
"authorized_official_last_name": "MERCADO",
"authorized_official_first_name": "MARISOL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-622-3464",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "192584442A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Buford, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.