Organization Active NPI

Medciphers LLC

  • Home Health Agency
  • Norcross, GA
National Provider Identifier
1659600716
Registry record updated Nov 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
122-R-0582 Issued in GA
Legal business name
MEDCIPHERS LLC
Practice address
5950 Live Oak Pkwy Ste 220
Norcross, GA 30093-1743
Phone
(404) 973-2700
NPI assigned
Dec 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2017

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

Authorized official

Name
Ron L Clark
Title
Ceo
Phone
(404) 973-2700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 122-R-0582 GA Primary

Addresses

Primary practice location

5950 Live Oak Pkwy Ste 220
Norcross, GA 30093-1743

Mailing address

5950 Live Oak Pkwy Ste 220
Norcross, GA 30093-1743
Phone (404) 973-2700

Other names 1

  • MDC Homecare Doing business as

National Provider Directory

National Provider Directory

Locations

4165 Shackleford Rd
Ste 100
Norcross, GA 30093
Phone (404) 973-2700

5950 Live Oak Pkwy
Ste 220
Norcross, GA 30093
Phone (404) 973-2700

4165 Shackleford Rd
Ste 120
Norcross, GA 30093

NPI Registry JSON

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

{
    "created_epoch": "1261094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510876800000",
    "number": "1659600716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5950 LIVE OAK PKWY STE 220",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931743",
            "telephone_number": "404-973-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 LIVE OAK PKWY STE 220",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931743",
            "telephone_number": "404-973-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDCIPHERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-18",
        "last_updated": "2017-11-17",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "RON",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-973-2700"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "122-R-0582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MDC Homecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2017; 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.