NPIMap

Organization Active NPI

Sunrise Medical Group, LLC

  • In Home Supportive Care Agency
  • Atlanta, GA
National Provider Identifier
1639892086
Registry record updated Sep 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
SUNRISE MEDICAL GROUP, LLC
Practice address
2302 Parklake Dr NE Ste 596
Atlanta, GA 30345-2999
Phone
(404) 552-9096
NPI assigned
Sep 21, 2022
Last updated
Sep 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2022

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

Authorized official

Name
Jaimama Koryan, REGISTERED NURSE
Title
Registered Nurse
Phone
(404) 372-1196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X NU Primary

Addresses

Primary practice location

2302 Parklake Dr NE Ste 596
Atlanta, GA 30345-2999

Mailing address

2302 Parklake Dr NE Ste 596
Atlanta, GA 30345-2999

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL sunrisemedical81@gmail.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Sunrise Medical Group LLC2 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.

Locations

2302 Parklake Dr NE
Ste 596
Atlanta, GA 30345
Phone (404) 372-1196

NPI Registry JSON

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

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663718400000",
    "number": "1639892086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 PARKLAKE DR NE STE 596",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 PARKLAKE DR NE STE 596",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452999",
            "telephone_number": "404-552-9096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE MEDICAL GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-21",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-17",
        "status": "A",
        "authorized_official_last_name": "KORYAN",
        "authorized_official_first_name": "JAIMAMA",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "404-372-1196",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "sunrisemedical81@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "2302 Parklake Dr NE Ste 596",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303452999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; 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.