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Georgia Mountain Community Partners

Organization Active NPI Developmentally Disabled Services Day Training Agency · Gainesville, GA

NPI 1619213626 · NPPES record last updated Dec 19, 2012

Key facts

NPI
1619213626
Entity type
Organization (NPI type 2)
Primary specialty
Developmentally Disabled Services Day Training Agency 251C00000X
Legal business name
GEORGIA MOUNTAIN COMMUNITY PARTNERS
Practice address
2059 Garden Rd
Gainesville, GA 30507-5019
Phone
(678) 513-5720
NPI assigned
Dec 19, 2012
Organization subpart
No

Authorized official

Name
Tammy Weynette Thompson
Title
Billing Specialist
Phone
(678) 513-5720

Corporate family (same tax ID) 24

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

National Provider Directory

Tax ID family
Georgia Mountain Community SVS (127 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Yes

Addresses

Primary practice location

2059 Garden Rd
Gainesville, GA 30507-5019

Mailing address

4331 Thurmond Tanner Parkway
Flowery Branch, GA 30542-2829
Phone (678) 513-5720

Other identifiers

IdentifierTypeStateIssuer
000607054CCOtherGAPROVIDER NUMBER

Other names

  • Avita Community Partners Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 19, 2012.

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1619213626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4331 THURMOND TANNER PARKWAY",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305422829",
            "telephone_number": "678-513-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2059 GARDEN RD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305075019",
            "telephone_number": "678-513-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA MOUNTAIN COMMUNITY PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-19",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "WEYNETTE",
        "authorized_official_title_or_position": "BILLING SPECIALIST",
        "authorized_official_telephone_number": "678-513-5720"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "000607054CC",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avita Community Partners",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, GA

All providers in Gainesville, GA · Developmentally Disabled Services Day Training Agency in Georgia

Sources for this page

Verify at the official NPI Registry.