Organization Active NPI

Mountaintop Healthcare Co

Doing business as Minor Medical Heathcare

  • Primary Care Clinic/Center
  • Snellville, GA
National Provider Identifier
1780120188
Registry record updated Jun 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
66224 Issued in GA
Legal business name
MOUNTAINTOP HEALTHCARE CO
Doing business as
Minor Medical Heathcare
Practice address
1976 Main St E Ste C
Snellville, GA 30078-6460
Phone
(470) 395-3618
Fax
(770) 979-5155
NPI assigned
Jan 10, 2017
Last updated
Jun 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2023

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

Authorized official

Name
Belinda Millington, MDNPI 1255596458
Title
Ceo
Phone
(470) 395-3618

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Primary Care Clinic/Center 261QP2300X 66224 GA Primary

Addresses

Primary practice location

1976 Main St E Ste C
Snellville, GA 30078-6460

Mailing address

3600 Dallas Hwy SW Ste 230
PMB 156
Marietta, GA 30064-1685
Phone (470) 395-3618

Other names 1

  • Minor Medical Heathcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170119001503 GA Part B Supplier - Clinic/Group Practice 3971885369 Receives reassigned benefits from 1 practitioner
Practice locations: Snellville, GA

National Provider Directory

National Provider Directory

Locations

3600 Dallas Hwy SW
Ste 230
Marietta, GA 30064

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": "1484006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687737600000",
    "number": "1780120188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 DALLAS HWY SW STE 230",
            "address_2": "PMB 156",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300641685",
            "telephone_number": "470-395-3618",
            "fax_number": "770-979-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1976 MAIN ST E STE C",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786460",
            "telephone_number": "470-395-3618",
            "fax_number": "770-979-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINTOP HEALTHCARE CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-10",
        "last_updated": "2023-06-26",
        "certification_date": "2023-06-26",
        "status": "A",
        "authorized_official_last_name": "MILLINGTON",
        "authorized_official_first_name": "BELINDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "470-395-3618",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "GA",
            "license": "66224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minor Medical Heathcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Minor Medical Heathcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.