Managed Care Outsource, Inc

Primary specialty

Corporate Health Clinic/CenterTaxonomy code 261QC1800X

Legal business name

MANAGED CARE OUTSOURCE, INC

Practice address

2793 Clairmont Rd NE
Suite 213
Atlanta, GA 30329-2700

Phone

(404) 633-0545

Fax

(404) 781-0779

NPI assigned

Oct 8, 2012

Last updated

Oct 8, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Karen D Stack, RN BSN MNNPI 1750633251

Title

Principal

Phone

(404) 633-0545

Specialties & licenses 1

Addresses

Locations

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.

• Karen D Stack, RN BSN MN

  • Administrator Registered Nurse
  • Atlanta, GA
  • NPI 1750633251
  NPD (past) Authorized official

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349654400000",
    "number": "1639421126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2793 CLAIRMONT RD NE",
            "address_2": "SUITE 213",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292700",
            "telephone_number": "404-633-0545",
            "fax_number": "404-781-0779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2793 CLAIRMONT RD NE",
            "address_2": "SUITE 213",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292700",
            "telephone_number": "404-633-0545",
            "fax_number": "404-781-0779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANAGED CARE OUTSOURCE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-08",
        "last_updated": "2012-10-08",
        "status": "A",
        "authorized_official_last_name": "STACK",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "404-633-0545",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN BSN MN"
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Seyma Ilayda Mamedova
• Aaron Gerald Mammoser, M.D., M.S.
• Lemlem Ashenafi Mamo, MD
• Mushairat Mamun, PA
• Nooshin Manafi, PHARMD
• Iviensan Fernandez Manalo, M.D.
• Jeffrey Manaloto, M.D.
• Martha Manar, M.D.
• Mary Elizabeth Manasra, LPC
• Fredrick Nzai Manasseh, PHARM.D, MBA,BCGP

• Corporate Health Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Corporate Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; 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.