Organization Active NPI

Mandalay Consulting LLC

  • Case Management Agency
  • McDonough, GA
National Provider Identifier
1801264205
Registry record updated Sep 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
MANDALAY CONSULTING LLC
Practice address
574 Cold Water LN
McDonough, GA 30252-8068
Phone
(678) 271-2949
NPI assigned
Sep 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2015

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

Authorized official

Name
Mrs. Antiha Key
Title
Owner
Phone
(678) 271-2949

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Community/Behavioral Health Agency 251S00000X

Addresses

Primary practice location

574 Cold Water LN
McDonough, GA 30252-8068

Mailing address

574 Cold Water LN
McDonough, GA 30252-8068
Phone (678) 271-2949

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441152000000",
    "number": "1801264205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "574 COLD WATER LN",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302528068",
            "telephone_number": "678-271-2949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "574 COLD WATER LN",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302528068",
            "telephone_number": "678-271-2949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANDALAY CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2015-09-02",
        "status": "A",
        "authorized_official_last_name": "KEY",
        "authorized_official_first_name": "ANTIHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-271-2949",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.