Active NPI
Inspiritus, Inc.
- Developmentally Disabled Services Day Training Agency
- Atlanta, GA
National Provider Identifier
1649449281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- INSPIRITUS, INC.
- Practice address
- 230 Peachtree Street NW
Suite 1100
Atlanta, GA 30303 - Phone
- (404) 875-0201
- Fax
- (404) 875-9258
- NPI assigned
- Feb 28, 2008
- 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
- Mr. Kirby Nickerson
- Title
- Chief Financial Officer
- Phone
- (704) 754-8228
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | Primary |
Addresses
Primary practice location
230 Peachtree Street NW
Suite 1100
Atlanta, GA 30303
Mailing address
PO Box 1414
Salisbury, NC 28145
Phone (704) 603-2870
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000916726C | Medicaid | GA |
Other names 1
- Lutheran Services of Georgia, Inc.
National Provider Directory
National Provider DirectoryLocations
230 Peachtree St NW
Ste 1100
Atlanta, GA 30303
Phone (404) 875-0201
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204156800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585008000000",
"number": "1649449281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1414",
"city": "SALISBURY",
"state": "NC",
"postal_code": "28145",
"telephone_number": "704-603-2870",
"fax_number": "704-637-2950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 PEACHTREE STREET NW",
"address_2": "SUITE 1100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30303",
"telephone_number": "404-875-0201",
"fax_number": "404-875-9258"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INSPIRITUS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-28",
"last_updated": "2020-03-24",
"certification_date": "2020-03-24",
"status": "A",
"authorized_official_last_name": "NICKERSON",
"authorized_official_first_name": "KIRBY",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "704-754-8228",
"authorized_official_name_prefix": "Mr."
},
"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": "000916726C",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Lutheran Services of Georgia, Inc.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
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 Mar 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.