NPIMap

Organization Active NPI

Nursesource Care Management, LLC

  • Case Management Agency
  • Covington, GA
National Provider Identifier
1720523525
Registry record updated Jan 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
RN16047 Issued in GA
Legal business name
NURSESOURCE CARE MANAGEMENT, LLC
Practice address
8114 Woodland Ave SE
Covington, GA 30014-3966
Phone
(770) 617-9555
NPI assigned
Jan 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2017

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

Authorized official

Name
Mrs. Dorothea Bailey-Butts, RN
Title
Ceo
Phone
(770) 617-9555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X RN16047 GA Primary

Addresses

Primary practice location

8114 Woodland Ave SE
Covington, GA 30014-3966

Mailing address

8114 Woodland Ave SE
Covington, GA 30014-3966
Phone (770) 617-9555

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1483401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1720523525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8114 WOODLAND AVE SE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300143966",
            "telephone_number": "770-617-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8114 WOODLAND AVE SE",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300143966",
            "telephone_number": "770-617-9555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NURSESOURCE CARE MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-03",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "BAILEY-BUTTS",
        "authorized_official_first_name": "DOROTHEA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-617-9555",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "GA",
            "license": "RN16047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; 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.