Active NPI
Albert Leon Phillips Jr.
- Social Worker
- Decatur, GA
National Provider Identifier
1801393103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- MSW008225
- Practice address
- 2741 Glenvalley Dr
Decatur, GA 30032-4207 - Phone
- (404) 840-4896
- NPI assigned
- Apr 12, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | MSW008225 | GA | Primary |
Addresses
Primary practice location
2741 Glenvalley Dr
Decatur, GA 30032-4207
Mailing address
2741 Glenvalley Dr
Decatur, GA 30032-4207
Phone (404) 840-4896
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MSW008225 | GA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523491200000",
"number": "1801393103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2741 GLENVALLEY DR",
"city": "DECATUR",
"state": "GA",
"postal_code": "300324207",
"telephone_number": "404-840-4896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2741 GLENVALLEY DR",
"city": "DECATUR",
"state": "GA",
"postal_code": "300324207",
"telephone_number": "404-840-4896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHILLIPS",
"first_name": "ALBERT",
"middle_name": "LEON",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-12",
"last_updated": "2018-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": "GA",
"license": "MSW008225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.