Organization Active NPI

Pathmedic LLC

  • Home Health Agency
  • Conyers, GA
National Provider Identifier
1740517416
Registry record updated Nov 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
122-R-0608 Issued in GA
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

Updated by the provider on Nov 17, 2009

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)CodeLicenseStatePrimary
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
Pathmedic2 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.

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.

Verify at the official NPI Registry.