Active NPI
Cloud Healthcare & Wellness Services
- Primary Care Clinic/Center
- Forest Park, GA
National Provider Identifier
1710265392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- RN150780
- Legal business name
- CLOUD HEALTHCARE & WELLNESS SERVICES
- Practice address
- 1103 Forest Pkwy
Forest Park, GA 30297-2308 - Phone
- (404) 883-2376
- NPI assigned
- Jul 29, 2011
- Last updated
- Jun 19, 2013
- 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
- Rosemary Thomas-Cloud
- Title
- Owner/Nurse Practitioner
- Phone
- (404) 883-2376
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | RN150780 | GA | Primary |
Addresses
Primary practice location
1103 Forest Pkwy
Forest Park, GA 30297-2308
Mailing address
5388 Reuben CT
Ellenwood, GA 30294-4322
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 837763561C | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
1103 Forest Pkwy
Forest Park, GA 30297
Phone (404) 366-5544
Interoperability endpoints
- rosemary.thomascloud@gadirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311897600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1371600000000",
"number": "1710265392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5388 REUBEN CT",
"city": "ELLENWOOD",
"state": "GA",
"postal_code": "302944322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1103 FOREST PKWY",
"city": "FOREST PARK",
"state": "GA",
"postal_code": "302972308",
"telephone_number": "404-883-2376"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLOUD HEALTHCARE & WELLNESS SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-29",
"last_updated": "2013-06-19",
"status": "A",
"authorized_official_last_name": "THOMAS-CLOUD",
"authorized_official_first_name": "ROSEMARY",
"authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
"authorized_official_telephone_number": "404-883-2376"
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "GA",
"license": "RN150780",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "837763561C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Forest Park, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.