Active NPI
CP Leaders LLC
- Technician/Technologist
- Fayetteville, GA
National Provider Identifier
1639081029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician/Technologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Technician/Technologist | 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.