NPIMap

Organization Active NPI

Prime Veritas

  • Assisted Living Facility (Mental Illness)
  • Dacula, GA
National Provider Identifier
1801251202
Registry record updated Dec 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
PRIME VERITAS
Practice address
1889 Trinity Mill Dr
Dacula, GA 30019-1015
Phone
(770) 895-3787
NPI assigned
Dec 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2015

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

Authorized official

Name
Mrs. Olawunmi Yetunde Ogun-Semore, NP-CNPI 1104287283
Title
Nurse Practitioner
Phone
(770) 895-3787

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X GA Primary

Addresses

Primary practice location

1889 Trinity Mill Dr
Dacula, GA 30019-1015

Mailing address

1889 Trinity Mill Dr
Dacula, GA 30019-1015
Phone (770) 895-3787

National Provider Directory

National Provider Directory

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": "1451433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1451433600000",
    "number": "1801251202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1889 TRINITY MILL DR",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191015",
            "telephone_number": "770-895-3787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1889 TRINITY MILL DR",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191015",
            "telephone_number": "770-895-3787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME VERITAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-30",
        "last_updated": "2015-12-30",
        "status": "A",
        "authorized_official_last_name": "OGUN-SEMORE",
        "authorized_official_first_name": "OLAWUNMI",
        "authorized_official_middle_name": "YETUNDE",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "770-895-3787",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dacula, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.