Organization Active NPI

Optimal Outcomes Healthcare Network

  • Case Management Agency
  • Stockbridge, GA
National Provider Identifier
1770859597
Registry record updated Mar 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
OPTIMAL OUTCOMES HEALTHCARE NETWORK
Practice address
684 Pathwood LN
Stockbridge, GA 30281-7787
Phone
(770) 474-9086
Fax
(877) 522-1977
NPI assigned
Mar 26, 2012
Last updated
Mar 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2012

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

Authorized official

Name
Ms. Donna Lynn Ross, RN, MHA, CPUR, CCMNPI 1962796680
Title
President/Ceo
Phone
(770) 474-9086

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X GA Primary
Nursing Care Agency 251J00000X GA
Public Health or Welfare Agency 251K00000X GA

Addresses

Primary practice location

684 Pathwood LN
Stockbridge, GA 30281-7787

Mailing address

684 Pathwood LN
Stockbridge, GA 30281-7787
Phone (770) 474-9086

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1332720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332720000000",
    "number": "1770859597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "684 PATHWOOD LN",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817787",
            "telephone_number": "770-474-9086",
            "fax_number": "877-522-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "684 PATHWOOD LN",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302817787",
            "telephone_number": "770-474-9086",
            "fax_number": "877-522-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL OUTCOMES HEALTHCARE NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-26",
        "last_updated": "2012-03-26",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "770-474-9086",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, MHA, CPUR, CCM"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "GA",
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2012; 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.