Organization Active NPI

CP Leaders LLC

  • Technician/Technologist
  • Fayetteville, GA
National Provider Identifier
1639081029
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Technician/TechnologistTaxonomy code 156F00000X
Legal business name
CP LEADERS LLC
Practice address
134 Stanley Rd
Fayetteville, GA 30214-1102
Phone
(786) 239-2698
NPI assigned
Sep 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Authorized official

Name
Carroll Phillips
Title
President
Phone
(786) 239-2698

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Technician/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 156F00000X Primary

Addresses

Primary practice location

134 Stanley Rd
Fayetteville, GA 30214-1102

Mailing address

134 Stanley Rd
Fayetteville, GA 30214-1102
Phone (786) 239-2698

NPI Registry JSON

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

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1639081029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 STANLEY RD",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141102",
            "telephone_number": "786-239-2698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 STANLEY RD",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141102",
            "telephone_number": "786-239-2698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CP LEADERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "CARROLL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-239-2698"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.