Active NPI
Brandon Owens Management Group LLC
- Developmentally Disabled Services Day Training Agency
- Atlanta, GA
National Provider Identifier
1659099414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- 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, 2022
- 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
- Brandon L Owens
- Title
- Owner
- Phone
- (678) 856-7172
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.