Organization Active NPI

Information Resource Inc

  • Point of Service
  • Stone Mountain, GA
National Provider Identifier
1659685808
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
INFORMATION RESOURCE INC
Practice address
4719 Central Dr Apt 4L
Stone Mountain, GA 30083-2629
Phone
(404) 388-8405
NPI assigned
Jul 29, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Timothy Brown
Title
Owner
Phone
(404) 388-8405

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X
Point of Service 305S00000X GA Primary

Addresses

Primary practice location

4719 Central Dr Apt 4L
Stone Mountain, GA 30083-2629

Mailing address

4719 Central Dr Apt 4L
Stone Mountain, GA 30083-2629
Phone (404) 388-8405

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1659685808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4719 CENTRAL DR APT 4L",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300832629",
            "telephone_number": "404-388-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4719 CENTRAL DR APT 4L",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300832629",
            "telephone_number": "404-388-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFORMATION RESOURCE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-388-8405"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.