Organization Active NPI

Mobile Healthcare

  • Ambulatory Care Registered Nurse
  • Acworth, GA
National Provider Identifier
1780751297
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Care Registered NurseTaxonomy code 163WP2201X
License
172907NP Issued in GA
Legal business name
MOBILE HEALTHCARE
Practice address
4749 Limestone LN NW
Acworth, GA 30102-6484
Phone
(678) 521-8928
NPI assigned
Nov 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Therese Williams Dumas, APRN
Title
Owner
Phone
(678) 521-8928

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Care Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WP2201X 172907NP GA Primary

Addresses

Primary practice location

4749 Limestone LN NW
Acworth, GA 30102-6484

Mailing address

4749 Limestone LN NW
Acworth, GA 30102-6484
Phone (678) 521-8928

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780751297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4749 LIMESTONE LN NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301026484",
            "telephone_number": "678-521-8928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4749 LIMESTONE LN NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301026484",
            "telephone_number": "678-521-8928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUMAS",
        "authorized_official_first_name": "THERESE",
        "authorized_official_middle_name": "WILLIAMS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-521-8928",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "163WP2201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "GA",
            "license": "172907NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.