Active NPI
Events Travel Station
- Case Management Agency
- Brookhaven, GA
National Provider Identifier
1669163085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- EVENTS TRAVEL STATION
- Practice address
- 305 Brookhaven Ave NE Unit 458
Brookhaven, GA 30319-3271 - Phone
- (404) 330-7109
- NPI assigned
- May 17, 2023
- 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
- Lisa Gwenetta Childers
- Title
- Coo
- Phone
- (404) 330-7109
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
305 Brookhaven Ave NE Unit 458
Brookhaven, GA 30319-3271
Mailing address
305 Brookhaven Ave NE Unit 458
Brookhaven, GA 30319-3271
Phone (404) 330-7109
Other names 1
- It's Case By Case
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1684281600000",
"number": "1669163085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "305 BROOKHAVEN AVE NE UNIT 458",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303193271",
"telephone_number": "404-330-7109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "305 BROOKHAVEN AVE NE UNIT 458",
"city": "BROOKHAVEN",
"state": "GA",
"postal_code": "303193271",
"telephone_number": "404-330-7109"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVENTS TRAVEL STATION",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-17",
"last_updated": "2023-05-17",
"certification_date": "2023-05-17",
"status": "A",
"authorized_official_last_name": "CHILDERS",
"authorized_official_first_name": "LISA",
"authorized_official_middle_name": "GWENETTA",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "404-330-7109"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "It's Case By Case",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Brookhaven, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.