Four Corners Testing

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

FOUR CORNERS TESTING

Practice address

3343 Peachtree Rd NE Ste 145-2137
Atlanta, GA 30326-1085

Phone

(404) 969-2779

NPI assigned

Jan 24, 2023

Organization subpart

No

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

Authorized official

Name

Bryan Jones

Title

Principal

Phone

(404) 969-2779

Specialties & licenses 1

Addresses

Tax ID family

Four Corners Testing2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Four Corners Testing LLC

  • Clinic/Center
  • Locust Grove, GA
  • NPI 1194431718
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Four Corners Testing LLC

  • Clinic/Center
  • Locust Grove, GA
  • NPI 1194431718
  NPPES parent name

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1710693734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3343 PEACHTREE RD NE STE 145-2137",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3343 PEACHTREE RD NE STE 145-2137",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303261085",
            "telephone_number": "404-969-2779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR CORNERS TESTING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "404-969-2779"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith A Fountain
• Joshua Shane Fountain
• Linda M Fountain, MD
• Michael D Fountain, MA, NCC, LAPC
• Fountainview Center LP
• Christina Nicole Fournier, M.D.
• Ayanna Fourte
• Michael A. Foust, LCSW
• Mollea Ellynne Foust, RN
• Noah Fouts, CPNP

• Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.