Angela Bates

Key facts

NPI

1619700804

Entity type

Individual (NPI type 1)

Primary specialty

Assisted Living Facility 310400000X

Practice address

339 Marshall St
Martinez, GA 30907-2585

Phone

(803) 257-7908

NPI assigned

Aug 22, 2024

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2024.

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1619700804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 MARSHALL ST",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309072585",
            "telephone_number": "803-257-7908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 MARSHALL ST",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309072585",
            "telephone_number": "803-257-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATES",
        "first_name": "ANGELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinez, GA

• Kristy Elaine Banks-Jones, LMSW
• Jubilee Baptiste
• Barbara J. Utermark, DMD, P.C.
• Susan Elizabeth Barker, M.ED., LPC, NCC
• Ashtin Barton
• Teresa Ann Bates, MS, APC, NCC
• Shoba Battu, M.D.
• Christopher C. Bauer, D.C.
• Summer Baughcum
• Elizabeth Jayne Baughn, COTA/L

All providers in Martinez, GA · Assisted Living Facility in Georgia