NPIMap

Organization Active NPI

Georgia Complete Care Centers LLC

  • Internal Medicine Physician
  • Sugar Hill, GA
National Provider Identifier
1790169910
Registry record updated Jul 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
GA040613 Issued in GA
Legal business name
GEORGIA COMPLETE CARE CENTERS LLC
Practice address
245 Peachtree Industrial Blvd
Ste 100
Sugar Hill, GA 30518-9126
Phone
(770) 831-1155
NPI assigned
Jul 17, 2015
Last updated
Jul 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2015

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

Authorized official

Name
Dr. Richard Lee Collin, D.C.NPI 1790954360
Title
Partner/Chiropractor
Phone
(770) 831-1155

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 007907 GA
Neurology Chiropractor 111NN0400X CHIR007581 GA
Internal Medicine Physician 207R00000X GA040613 GA Primary
Physical Therapist 225100000X PT006386 GA

Addresses

Primary practice location

245 Peachtree Industrial Blvd
Ste 100
Sugar Hill, GA 30518-9126

Mailing address

245 Peachtree Industrial Blvd
Ste 100
Sugar Hill, GA 30518-9126
Phone (770) 831-1155

National Provider Directory

National Provider Directory

Locations

245 Peachtree Industrial Blvd
Ste 100
Sugar Hill, GA 30518
Phone (678) 541-0777

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": "1437091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437091200000",
    "number": "1790169910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "STE 100",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305189126",
            "telephone_number": "770-831-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 PEACHTREE INDUSTRIAL BLVD",
            "address_2": "STE 100",
            "city": "SUGAR HILL",
            "state": "GA",
            "postal_code": "305189126",
            "telephone_number": "770-831-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA COMPLETE CARE CENTERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-17",
        "last_updated": "2015-07-17",
        "status": "A",
        "authorized_official_last_name": "COLLIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "PARTNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "770-831-1155",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "007907",
            "primary": false
        },
        {
            "code": "111NN0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Neurology",
            "state": "GA",
            "license": "CHIR007581",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "GA040613",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT006386",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Hill, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2015; 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.