Organization Active NPI

Brandon Owens Management Group LLC

  • Developmentally Disabled Services Day Training Agency
  • Atlanta, GA
National Provider Identifier
1659099414
Registry record updated Aug 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
BRANDON OWENS MANAGEMENT GROUP LLC
Practice address
3075 Sylvan Rd Ste G
Atlanta, GA 30354-1019
Phone
(678) 856-7172
NPI assigned
Aug 18, 2022
Last updated
Aug 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2022

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

Authorized official

Name
Brandon L Owens
Title
Owner
Phone
(678) 856-7172

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Developmentally Disabled Services Day Training Agency 251C00000X Primary
Adult Day Care Clinic/Center 261QA0600X
Non-emergency Medical Transport (VAN) 343900000X
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

3075 Sylvan Rd Ste G
Atlanta, GA 30354-1019

Mailing address

3075 Sylvan Rd
Atlanta, GA 30354-1019
Phone (678) 856-7172

National Provider Directory

National Provider Directory

Locations

3075 Sylvan Rd
Atlanta, GA 30354

3075 Sylvan Rd
Ste G
Atlanta, GA 30354
Phone (678) 856-7172

NPI Registry JSON

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

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660780800000",
    "number": "1659099414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3075 SYLVAN RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303541019",
            "telephone_number": "678-856-7172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3075 SYLVAN RD STE G",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303541019",
            "telephone_number": "678-856-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON OWENS MANAGEMENT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-856-7172"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Aug 18, 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.