Organization Active NPI

The Smart Place

  • Developmentally Disabled Services Day Training Agency
  • Decatur, GA
National Provider Identifier
1639422330
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
THE SMART PLACE
Practice address
1916 Glenfair Rd
Decatur, GA 30035-1849
Phone
(770) 469-4418
Fax
(770) 469-4438
NPI assigned
Oct 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

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

Authorized official

Name
Teresa Punzi
Title
Executive Director
Phone
(770) 469-4418

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Primary

Addresses

Primary practice location

1916 Glenfair Rd
Decatur, GA 30035-1849

Mailing address

1916 Glenfair Rd
Decatur, GA 30035-1849
Phone (770) 469-4418

Other identifiers 1

IdentifierTypeStateIssuer
031956120MedicaidGA

National Provider Directory

National Provider Directory

Locations

1916 Glenfair Rd
Decatur, GA 30035
Phone (770) 469-4418

NPI Registry JSON

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

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1639422330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 GLENFAIR RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300351849",
            "telephone_number": "770-469-4418",
            "fax_number": "770-469-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 GLENFAIR RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300351849",
            "telephone_number": "770-469-4418",
            "fax_number": "770-469-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SMART PLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "PUNZI",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "770-469-4418"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "031956120",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.