Active NPI
Pathmedic LLC
- Home Health Agency
- Conyers, GA
National Provider Identifier
1740517416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 122-R-0608
- Legal business name
- PATHMEDIC LLC
- Practice address
- 2055 Gees Mill Rd NE
Suite 326
Conyers, GA 30013-1362 - Phone
- (770) 679-9348
- NPI assigned
- Nov 17, 2009
- 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
- Mrs. Roselyne O Lovelace
- Title
- Administrator
- Phone
- (770) 679-9348
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 122-R-0608 | GA | Primary |
Addresses
Primary practice location
2055 Gees Mill Rd NE
Suite 326
Conyers, GA 30013-1362
Mailing address
903 Honey Creek Rd SE # B
Suite 275
Conyers, GA 30094-2801
National Provider Directory
National Provider Directory- Tax ID family
- Pathmedic
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Milledgeville, GA
- NPI 1760656318
Locations
903 Honey Creek Rd SE
Ste 275
Conyers, GA 30094
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1258416000000",
"number": "1740517416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 HONEY CREEK RD SE # B",
"address_2": "SUITE 275",
"city": "CONYERS",
"state": "GA",
"postal_code": "300942801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 GEES MILL RD NE",
"address_2": "SUITE 326",
"city": "CONYERS",
"state": "GA",
"postal_code": "300131362",
"telephone_number": "770-679-9348"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PATHMEDIC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-11-17",
"last_updated": "2009-11-17",
"status": "A",
"authorized_official_last_name": "LOVELACE",
"authorized_official_first_name": "ROSELYNE",
"authorized_official_middle_name": "O",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "770-679-9348",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "GA",
"license": "122-R-0608",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.