Georgia Correctional Industries

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

GEORGIA CORRECTIONAL INDUSTRIES

Practice address

777 Underwood Dr
Trion, GA 30753-1500

Phone

(706) 857-0650

Fax

(706) 857-0652

NPI assigned

Nov 16, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Jerry Watson

Title

Executive Director

Phone

(404) 244-5100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801969175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2984 CLIFTON SPRINGS RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300343820",
            "telephone_number": "404-244-5100",
            "fax_number": "404-244-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 UNDERWOOD DR",
            "city": "TRION",
            "state": "GA",
            "postal_code": "307531500",
            "telephone_number": "706-857-0650",
            "fax_number": "706-857-0652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA CORRECTIONAL INDUSTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "404-244-5100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Trion, GA
• Providers in Trion, GA by specialty
• Eyewear Supplier in Georgia

• 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.