Georgia NP House Calls, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

GEORGIA NP HOUSE CALLS, LLC

Practice address

2007 Pine Forest CT
Jonesboro, GA 30236-5417

Phone

(678) 923-1807

NPI assigned

Apr 28, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Terri T. Van Dorn, ACNP-CNPI 1124363577

Title

Owner Operator

Phone

(678) 923-1807

Specialties & licenses 5

Addresses

Practitioners 1

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

• Terri Tonisha Van Dorn, NP (ACNP-BC)

  • Nurse Practitioner
  • Conyers, GA
  • NPI 1124363577
  NPD Authorized official

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619568000000",
    "number": "1679156616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 PINE FOREST CT",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302365417",
            "telephone_number": "678-923-1807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 PINE FOREST CT",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302365417",
            "telephone_number": "678-923-1807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA NP HOUSE CALLS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A",
        "authorized_official_last_name": "VAN DORN",
        "authorized_official_first_name": "TERRI",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER OPERATOR",
        "authorized_official_telephone_number": "678-923-1807",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ACNP-C"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251F00000X",
            "taxonomy_group": "",
            "desc": "Home Infusion",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Quintina Gilmore

• Home Health Agency in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.