Organization Active NPI

Megaregionshealthcareservices

Doing business as Megaregiionshealthcareservices

  • Health Maintenance Organization
  • Tyrone, GA
National Provider Identifier
1679708838
Registry record updated May 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
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, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2009

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.