MD 1 Care

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

53518 Issued in GA

Legal business name

MD 1 CARE

Practice address

101 Beckett LN
Suite 506
Fayetteville, GA 30214-7155

Phone

(678) 817-9255

NPI assigned

Dec 19, 2011

Organization subpart

No

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

Authorized official

Name

Salih Faldon

Title

President

Phone

(678) 817-9255

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1324252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324252800000",
    "number": "1649549775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BECKETT LANE",
            "address_2": "SUITE 506",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "30214",
            "telephone_number": "678-817-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BECKETT LN",
            "address_2": "SUITE 506",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147155",
            "telephone_number": "678-817-9255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MD 1 CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-19",
        "last_updated": "2011-12-19",
        "status": "A",
        "authorized_official_last_name": "FALDON",
        "authorized_official_first_name": "SALIH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-817-9255"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "53518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Branae McLeroy, BS, RBT
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• Clinic/Center in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2011; 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.