Hispanic Medical Management

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

HISPANIC MEDICAL MANAGEMENT

Practice address

706 Grayson Hwy
Suite 213
Lawrenceville, GA 30045-5707

Phone

(770) 339-9111

Fax

(770) 339-9939

NPI assigned

Mar 14, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Tracey Cota

Title

Coo

Phone

(770) 613-0070

Specialties & licenses 1

Addresses

Other names 1

• CLINICA DE LA MAMA Doing business as

Locations

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740313196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5127 JIMMY CARTER BLVD",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300931619",
            "telephone_number": "770-613-0070",
            "fax_number": "770-613-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 GRAYSON HWY",
            "address_2": "SUITE 213",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300455707",
            "telephone_number": "770-339-9111",
            "fax_number": "770-339-9939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HISPANIC MEDICAL MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COTA",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "770-613-0070",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CLINICA DE LA MAMA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leslie Suan Hilton, LPN
• Nicole Lashawn Hilton, RN
• Vanessa Hinckley
• Danielle Hines, MD
• Hire Degree Nemt Services LLC
• Joel R. Hitt, L.C.S.W.
• Hixson Counseling Services LLC
• John Benjamin Hixson, LPC
• HJK1, LLC
• Tracy Hlozek, M.S.,CCC-SLP

• All providers in Lawrenceville, GA
• Clinical Medical Laboratory in Georgia

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.