Georgia Clinics LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GEORGIA CLINICS LLC

Practice address

4751 Best Rd Ste 475
College Park, GA 30337-5615

Phone

(281) 724-7788

Fax

(713) 838-9738

NPI assigned

Mar 27, 2014

Last updated

Mar 27, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. John Cruise

Title

Chief Operations Officer

Phone

(281) 724-7788

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395878400000",
    "number": "1609293687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 S LOOP W STE 260",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542849",
            "telephone_number": "281-724-7788",
            "fax_number": "713-838-9738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4751 BEST RD STE 475",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303375615",
            "telephone_number": "281-724-7788",
            "fax_number": "713-838-9738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2014-03-27",
        "status": "A",
        "authorized_official_last_name": "CRUISE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "281-724-7788",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fidelia Choose Frempong, RBT
• Fruit of My Womb Inc
• Fulton County Board of Health (College Park Regional Health Center)
• Krystal S. Gambrell, SLP
• Sharon Ann Ganaway, CERTIFIED NURSE/TECH
• Kylie Gerks, MS, MFT
• Leandre Daniel Gervais, DDS
• Tara Ann Gill, M.S.
• Devonte' L. Glass, DC
• Cynthia Glenn

• Clinic/Center in College Park, GA
• Providers in College Park, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; 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.