Organization Active NPI

Amazing Transformationyouth and Family Services

  • Community/Behavioral Health Agency
  • Newnan, GA
National Provider Identifier
1629437322
Registry record updated Feb 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
AMAZING TRANSFORMATIONYOUTH AND FAMILY SERVICES
Practice address
41 Farmer St
102
Newnan, GA 30263-8672
Phone
(678) 216-8888
NPI assigned
Feb 23, 2016
Last updated
Feb 23, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2016

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

Authorized official

Name
Dr. Cora Jean Zachary, DOCTOR OF EDUCATION
Title
Advisor
Phone
(770) 683-3354

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X GA Primary

Addresses

Primary practice location

41 Farmer St
102
Newnan, GA 30263-8672

Mailing address

41 Farmer St
102
Newnan, GA 30263-8672
Phone (678) 216-8888

National Provider Directory

National Provider Directory

Locations

41 Farmer St
Ste 102
Newnan, GA 30263
Phone (404) 431-5470

NPI Registry JSON

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

{
    "created_epoch": "1456185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456185600000",
    "number": "1629437322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 FARMER ST",
            "address_2": "102",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302638672",
            "telephone_number": "678-216-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 FARMER ST",
            "address_2": "102",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302638672",
            "telephone_number": "678-216-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMAZING TRANSFORMATIONYOUTH AND FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-23",
        "last_updated": "2016-02-23",
        "status": "A",
        "authorized_official_last_name": "ZACHARY",
        "authorized_official_first_name": "CORA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "ADVISOR",
        "authorized_official_telephone_number": "770-683-3354",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DOCTOR OF EDUCATION"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.