NPIMap

Organization Active NPI

Positive Impact Health Centers, Inc

  • Case Management Agency
  • Duluth, GA
National Provider Identifier
1619064847
Registry record updated Jun 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
POSITIVE IMPACT HEALTH CENTERS, INC
Practice address
3350 Breckinridge Blvd Ste 200
Duluth, GA 30096
Phone
(770) 962-8396
Fax
(770) 962-1291
NPI assigned
Oct 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2018

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

Authorized official

Name
Brace Jason Arnette
Title
Fiinance/Data Manager
Phone
(770) 962-8396

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

3350 Breckinridge Blvd Ste 200
Duluth, GA 30096

Mailing address

3350 Breckinridge Blvd Ste 200
Duluth, GA 30096-4959
Phone (770) 962-8396

Other practice location 1

523 Church St
Decatur, GA 30030-2515
Phone (404) 589-9040

Other identifiers 1

IdentifierTypeStateIssuer
000675342AMedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
Positive Impact HLTH Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

3350 Breckinridge Blvd
Ste 200
Duluth, GA 30096
Phone (770) 962-8396

1117 Battlecreek Rd
Jonesboro, GA 30236
Phone (678) 610-7198

1650 County Services Pkwy SW
#1
Marietta, GA 30008

1650 County Services Pkwy SW
Ste 200
Marietta, GA 30008
Phone (678) 213-2001

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529884800000",
    "number": "1619064847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 BRECKINRIDGE BLVD STE 200",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300964959",
            "telephone_number": "770-962-8396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 BRECKINRIDGE BLVD STE 200",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "30096",
            "telephone_number": "770-962-8396",
            "fax_number": "770-962-1291"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "523 Church St",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300302515",
            "country_code": "US",
            "telephone_number": "404-589-9040",
            "fax_number": "404-589-1615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "POSITIVE IMPACT HEALTH CENTERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2018-06-25",
        "status": "A",
        "authorized_official_last_name": "ARNETTE",
        "authorized_official_first_name": "BRACE",
        "authorized_official_middle_name": "JASON",
        "authorized_official_title_or_position": "FIINANCE/DATA MANAGER",
        "authorized_official_telephone_number": "770-962-8396"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000675342A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.