Sickle Cell Foundation of Georgia, Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

LAB000323 Issued in GA

Legal business name

SICKLE CELL FOUNDATION OF GEORGIA, INC.

Practice address

2391 Benjamin E Mays Dr SW
Atlanta, GA 30311-3251

Phone

(404) 755-2291

Fax

(404) 755-5377

NPI assigned

Dec 2, 2013

Organization subpart

No

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

Authorized official

Name

Ebony Gaston

Title

Billing Clerk

Phone

(404) 755-2291

Specialties & licenses 1

Addresses

Tax ID family

Sickle Cell Foundation of Georgia Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Sickle Cell Foundation of Georgia, Inc.

  • Clinical Medical Laboratory
  • Atlanta, GA
  • NPI 1578763181
  NPD tax ID

Locations

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

{
    "created_epoch": "1385942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385942400000",
    "number": "1639500648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2391 BENJAMIN E MAYS DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303113251",
            "telephone_number": "404-755-2291",
            "fax_number": "404-755-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2391 BENJAMIN E MAYS DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303113251",
            "telephone_number": "404-755-2291",
            "fax_number": "404-755-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SICKLE CELL FOUNDATION OF GEORGIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-02",
        "last_updated": "2013-12-02",
        "status": "A",
        "authorized_official_last_name": "GASTON",
        "authorized_official_first_name": "EBONY",
        "authorized_official_title_or_position": "BILLING CLERK",
        "authorized_official_telephone_number": "404-755-2291"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "GA",
            "license": "LAB000323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rana Sibai-Drake, MD
• Jessica Laurette Sibley, M.S. OTR/L
• Gabriel Larkin Sica, M.D., PH.D.
• Vernicia Sicard, CNM
• Sickle Cell Foundation of Georgia, Inc.
• Brian Sickorez, PT
• Benjamin David Siclare, SAA
• Ala Addin Sid Ahmed
• Zain Siddiqi
• Zeeba Anwer Siddiqi, M.D.

• Clinical Medical Laboratory in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Medical Laboratory in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2013; 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.