Organization Active NPI

Mandalay Consulting LLC

  • Case Management Agency
  • McDonough, GA
National Provider Identifier
1770920340
Registry record updated May 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MANDALAY CONSULTING LLC
Practice address
574 Cold Water LN
McDonough, GA 30252-8068
Phone
(678) 927-7332
NPI assigned
May 22, 2013
Organization subpart
Yes
Parent organization
MANDALAY CONSULTING LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 22, 2013

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

Authorized official

Name
Mrs. Antiha Jenkins
Title
Ceo
Phone
(678) 927-7332

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary

Addresses

Primary practice location

574 Cold Water LN
McDonough, GA 30252-8068

Mailing address

574 Cold Water LN
McDonough, GA 30252-8068
Phone (678) 927-7332

National Provider Directory

National Provider Directory
Part of
Mandalay Consulting LLC

NPI Registry JSON

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369180800000",
    "number": "1770920340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "574 COLD WATER LN",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302528068",
            "telephone_number": "678-927-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "574 COLD WATER LN",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302528068",
            "telephone_number": "678-927-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDALAY CONSULTING LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MANDALAY CONSULTING LLC",
        "enumeration_date": "2013-05-22",
        "last_updated": "2013-05-22",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "ANTIHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-927-7332",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; 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.