Active NPI
Quality Health Source
- Family Medicine Physician
- Mableton, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- QUALITY HEALTH SOURCE
- Practice address
- 6116 Mableton Pkwy SW Ste 136
Mableton, GA 30126-4305 - Phone
- (770) 878-2997
- NPI assigned
- Apr 20, 2022
- Last updated
- Oct 4, 2024
- 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
- Temeka L Johnson
- Title
- NP
- Phone
- (678) 324-8009
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | |||
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
6116 Mableton Pkwy SW Ste 136
Mableton, GA 30126-4305
Mailing address
6116 Mableton Pkwy SW Ste 136
Mableton, GA 30126-4305
Phone (678) 324-8009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2257633 | Quality Health Source, LLC | Certificate of waiver | Apr 7, 2028 |
National Provider Directory
National Provider DirectoryLocations
6116 Mableton Pkwy SW
Ste 136
Mableton, GA 30126
Phone (770) 878-2977
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.
-
- Family Medicine Physician
- Lithia Springs, GA
- NPI 1316518475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1650412800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728000000000",
"number": "1780327346",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6116 MABLETON PKWY SW STE 136",
"city": "MABLETON",
"state": "GA",
"postal_code": "301264305",
"telephone_number": "678-324-8009",
"fax_number": "678-324-8017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6116 MABLETON PKWY SW STE 136",
"city": "MABLETON",
"state": "GA",
"postal_code": "301264305",
"telephone_number": "770-878-2997"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUALITY HEALTH SOURCE",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-20",
"last_updated": "2024-10-04",
"certification_date": "2024-10-04",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "TEMEKA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "NP",
"authorized_official_telephone_number": "678-324-8009"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Licensed Practical Nurse",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mableton, GA
- Providence Healthcare of Georgia (PHG Healthcare)
- Psychological Consultants of Georgia PC
- Publix Super Markets Inc (Publix Pharmacy #2132)
- Publix Super Markets Inc (Publix Pharmacy #1112)
- Pyc Enterprises LLC (Nurse Next Door - Sandy Springs, GA)
- Quality Labs on the Go
- Quickcare Transport LLC
- Chea Onar Rainford, DMD
- Tinisha Tiffany Ransome, MD
- Recess Limitless Play
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.