J Cargile LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

J CARGILE LLC

Practice address

3550 Clarkston Industrial Blvd Ste a
Clarkston, GA 30021-1331

Phone

(404) 626-8941

NPI assigned

Jun 21, 2020

Organization subpart

No

Name

Mr. John W Cargile Jr.

Title

Owner

Phone

(404) 626-8941

Locations

• Harbor of Dreams Art Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 21, 2020.

{
    "created_epoch": "1592697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592697600000",
    "number": "1659997104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 ROGERS ST",
            "city": "CLARKSTON",
            "state": "GA",
            "postal_code": "300212241",
            "telephone_number": "404-626-8941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 CLARKSTON INDUSTRIAL BLVD STE A",
            "city": "CLARKSTON",
            "state": "GA",
            "postal_code": "300211331",
            "telephone_number": "404-626-8941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J CARGILE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-21",
        "last_updated": "2020-06-21",
        "certification_date": "2020-06-21",
        "status": "A",
        "authorized_official_last_name": "CARGILE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-626-8941",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dee@harborofdreamsart.com",
            "affiliation": "N",
            "endpointDescription": "GSuite email with BAA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3550 Clarkston Industrial Blvd Ste A",
            "city": "Clarkston",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300211331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john@harborofdreamsart.com",
            "affiliation": "N",
            "endpointDescription": "GSuite email with BAA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3550 Clarkston Industrial Blvd Ste A",
            "city": "Clarkston",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300211331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Harbor of Dreams Art",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Clarkston, GA
• Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2020; 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.