Active NPI
Megaregionshealthcareservices
Doing business as Megaregiionshealthcareservices
- Health Maintenance Organization
- Tyrone, GA
National Provider Identifier
1679708838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Maintenance Organization
- Legal business name
- MEGAREGIONSHEALTHCARESERVICES
- Doing business as
- Megaregiionshealthcareservices
- Practice address
- 115 Lloyd Ave
Suite 105
Tyrone, GA 30290-2126 - Phone
- (770) 487-8766
- NPI assigned
- May 18, 2009
- Last updated
- May 18, 2009
- 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
- Mrs. Kathy Simpson, CERTIFIED SHOEFITTER
- Title
- Certified Shoefitter
- Phone
- (770) 487-8766
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Maintenance Organization | 302R00000X | Primary |
Addresses
Primary practice location
115 Lloyd Ave
Suite 105
Tyrone, GA 30290-2126
Mailing address
230 Perry Creek Dr
Fayetteville, GA 30215-2009
Phone (678) 817-1096
Other names 1
- MEGAREGIIONSHEALTHCARESERVICES
National Provider Directory
National Provider DirectoryLocations
115 Lloyd Ave
Ste 105
Tyrone, GA 30290
Phone (404) 468-6744
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242604800000",
"number": "1679708838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "230 PERRY CREEK DR",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302152009",
"telephone_number": "678-817-1096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 LLOYD AVE",
"address_2": "SUITE 105",
"city": "TYRONE",
"state": "GA",
"postal_code": "302902126",
"telephone_number": "770-487-8766"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEGAREGIONSHEALTHCARESERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-18",
"last_updated": "2009-05-18",
"status": "A",
"authorized_official_last_name": "SIMPSON",
"authorized_official_first_name": "KATHY",
"authorized_official_title_or_position": "CERTIFIED SHOEFITTER",
"authorized_official_telephone_number": "770-487-8766",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "CERTIFIED SHOEFITTER"
},
"taxonomies": [
{
"code": "302R00000X",
"taxonomy_group": "",
"desc": "Health Maintenance Organization",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MEGAREGIIONSHEALTHCARESERVICES",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tyrone, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.