NPIMap

Organization Active NPI

Health Education Assessment and Leadership, Inc

Doing business as HEALing Community Center

  • Federally Qualified Health Center (FQHC)
  • Douglasville, GA
National Provider Identifier
1740722420
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HEALTH EDUCATION ASSESSMENT AND LEADERSHIP, INC
Doing business as
HEALing Community Center
Practice address
3666 Highway 5
Douglasville, GA 30135-6939
Phone
(404) 564-7749
Fax
(404) 699-6798
NPI assigned
Nov 10, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Authorized official

Name
Shawn Wright
Title
Revenue Cycle Manager
Phone
(678) 704-4336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

3666 Highway 5
Douglasville, GA 30135-6939

Mailing address

3915 Cascade Rd SW Ste T-90
Atlanta, GA 30331-8660
Phone (404) 564-7749

Other practice location 1

186 Sunset Ave NW
Atlanta, GA 30314-4059
Phone (404) 477-1184

Other names 1

  • HEALing Community Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Health Education Assessment4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1740722420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 CASCADE RD SW STE T-90",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318660",
            "telephone_number": "404-564-7749",
            "fax_number": "404-758-1216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3666 HIGHWAY 5",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301356939",
            "telephone_number": "404-564-7749",
            "fax_number": "404-699-6798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "186 Sunset Ave NW",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303144059",
            "country_code": "US",
            "telephone_number": "404-477-1184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HEALTH EDUCATION ASSESSMENT AND LEADERSHIP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-10",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "REVENUE CYCLE MANAGER",
        "authorized_official_telephone_number": "678-704-4336"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEALing Community Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "HEALing Community Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.