Active NPI
Essence of Care Inc
- Community/Behavioral Health Agency
- Stone Mountain, GA
National Provider Identifier
1770920514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- ESSENCE OF CARE INC
- Practice address
- 5405 Memorial Dr
Suite G&H
Stone Mountain, GA 30083 - Phone
- (404) 975-4680
- Fax
- (404) 592-6438
- NPI assigned
- Jun 3, 2013
- 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
- Sharon Cosby
- Title
- Ceo/Executive Director
- Phone
- (404) 975-4680
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | GA | Primary |
Addresses
Primary practice location
5405 Memorial Dr
Suite G&H
Stone Mountain, GA 30083
Mailing address
5405 Memorial Dr
G & H
Stone Mountain, GA 30083-3234
Phone (404) 975-4680
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003120945A | Medicaid | GA |
National Provider Directory
National Provider DirectoryLocations
5405 Memorial Dr
Ste Gh
Stone Mountain, GA 30083
Phone (404) 975-4680
5405 Memorial Dr
#G
Stone Mountain, GA 30083
5405 Memorial Dr
Ste G1
Stone Mountain, GA 30083
Phone (404) 975-4680
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370217600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1518652800000",
"number": "1770920514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5405 MEMORIAL DR",
"address_2": "G & H",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300833234",
"telephone_number": "404-975-4680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5405 MEMORIAL DR",
"address_2": "SUITE G&H",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "30083",
"telephone_number": "404-975-4680",
"fax_number": "404-592-6438"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ESSENCE OF CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-03",
"last_updated": "2018-02-15",
"status": "A",
"authorized_official_last_name": "COSBY",
"authorized_official_first_name": "SHARON",
"authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "404-975-4680"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003120945A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stone Mountain, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.