NPIMap

Organization Active NPI

Uplifting the Community, Inc.

  • Community/Behavioral Health Agency
  • Atlanta, GA
National Provider Identifier
1669769063
Registry record updated Oct 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
251S00000X Issued in GA
Legal business name
UPLIFTING THE COMMUNITY, INC.
Practice address
2001 Martin Luther King Jr Dr SW
Suite 308
Atlanta, GA 30310-1101
Phone
(404) 564-4985
Fax
(404) 564-4986
NPI assigned
Jul 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2011

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

Authorized official

Name
Mrs. Jacqueline B. Lane
Title
Office Admin
Phone
(404) 564-4985

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 251S00000X GA Primary

Addresses

Primary practice location

2001 Martin Luther King Jr Dr SW
Suite 308
Atlanta, GA 30310-1101

Mailing address

2001 Martin Luther King Jr Dr SW
Suite 308
Atlanta, GA 30310-1101
Phone (404) 564-4985

Other identifiers 2

IdentifierTypeStateIssuer
376158430AMedicaidGA
509861193AMedicaidGA

National Provider Directory

National Provider Directory

Locations

2001 Martin Luther King Jr Dr SW
Ste 308
Atlanta, GA 30310
Phone (404) 564-4985

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317945600000",
    "number": "1669769063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 MARTIN LUTHER KING JR DR SW",
            "address_2": "SUITE 308",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101101",
            "telephone_number": "404-564-4985",
            "fax_number": "404-564-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 MARTIN LUTHER KING JR DR SW",
            "address_2": "SUITE 308",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101101",
            "telephone_number": "404-564-4985",
            "fax_number": "404-564-4986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPLIFTING THE COMMUNITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-06",
        "last_updated": "2011-10-07",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OFFICE ADMIN",
        "authorized_official_telephone_number": "404-564-4985",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "251S00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376158430A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "509861193A",
            "state": "GA"
        }
    ],
    "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 Oct 7, 2011; 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.