Active NPI
Families United Services, Inc.
- Community/Behavioral Health Agency
- Fayetteville, GA
National Provider Identifier
1720145030
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(7) exclusion effective Dec 1, 2018.
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- FAMILIES UNITED SERVICES, INC.
- Practice address
- 500 W Lanier Ave
Suite 904
Fayetteville, GA 30214-7636 - Phone
- (678) 817-1120
- NPI assigned
- Jan 3, 2007
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mrs. Pamela Yvette McKenzie, MSW
- Title
- Ceo
- Phone
- (678) 817-1120
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Fayetteville, GA
- NPI 1376798314
-
- Clinical Social Worker
- Rome, GA
- NPI 1417217092
-
- Social Worker
- Fayetteville, GA
- NPI 1922266725
-
- Mental Health Counselor
- Fayetteville, GA
- NPI 1386899334
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider DirectoryLocations
1107 13th Ave
Ste C
Albany, GA 31707
Phone (229) 496-9000
100 Braxton Ct
Fayetteville, GA 30214
Phone (770) 358-8275
500 Lanier Ave W
Ste 904
Fayetteville, GA 30214
Phone (678) 817-1120
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
500 W Lanier Ave
Suite 904
Fayetteville, GA 30214-7636
Mailing address
500 W Lanier Ave
Suite 904
Fayetteville, GA 30214-7636
Phone (678) 817-1120
Other identifiers 2
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103836 | Other | GA | OUTPATIENT MENTAL HEALTH |
| 10043184 | Other | GA | OUTPATIENT MENTAL HEALTH |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1720145030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W LANIER AVE",
"address_2": "SUITE 904",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302147636",
"telephone_number": "678-817-1120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W LANIER AVE",
"address_2": "SUITE 904",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302147636",
"telephone_number": "678-817-1120"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILIES UNITED SERVICES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MCKENZIE",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "YVETTE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "678-817-1120",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MSW"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OUTPATIENT MENTAL HEALTH",
"identifier": "103836",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OUTPATIENT MENTAL HEALTH",
"identifier": "10043184",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.