Organization Active NPI

Amazingly Uplifted, LLC

  • Behavior Analyst
  • Smyrna, GA
National Provider Identifier
1619485679
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
Legal business name
AMAZINGLY UPLIFTED, LLC
Practice address
115 Kenninghall CT SE
Smyrna, GA 30082-3891
Phone
(678) 744-7045
NPI assigned
Jan 11, 2018
Last updated
Dec 6, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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

Authorized official

Name
Veronica CraftonNPI 1962012237
Title
Owner
Phone
(678) 588-0141

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193400000X SINGLE SPECIALTY GROUP 103K00000X Primary

Addresses

Primary practice location

115 Kenninghall CT SE
Smyrna, GA 30082-3891

Mailing address

2451 Cumberland Pkwy SE Ste 3956
Atlanta, GA 30339-6136
Phone (678) 744-7045

Other names 1

  • Amazingly Uplifted, LLC Other name

National Provider Directory

National Provider Directory

Locations

2451 Cumberland Pkwy SE
Ste 3956
Atlanta, GA 30339
Phone (678) 431-5339

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544054400000",
    "number": "1619485679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 CUMBERLAND PKWY SE STE 3956",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303396136",
            "telephone_number": "678-744-7045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 KENNINGHALL CT SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300823891",
            "telephone_number": "678-744-7045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZINGLY UPLIFTED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-11",
        "last_updated": "2018-12-06",
        "status": "A",
        "authorized_official_last_name": "CRAFTON",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-588-0141"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amazingly Uplifted, LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Amazingly Uplifted, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.