Active NPI
Collection Intervention LLC
- Surgical Assistant
- Monroe, GA
National Provider Identifier
1811420581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- Legal business name
- COLLECTION INTERVENTION LLC
- Practice address
- 146 Martin Luther King Jr Blvd # 302
Monroe, GA 30655-5620 - Phone
- (678) 465-9414
- Fax
- (470) 200-3267
- NPI assigned
- Apr 9, 2017
- Last updated
- Apr 9, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Marcie Lynn Tanner
- Title
- Owner/Officer
- Phone
- (678) 465-9414
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | Primary |
Addresses
Primary practice location
146 Martin Luther King Jr Blvd # 302
Monroe, GA 30655-5620
Mailing address
146 Martin Luther King Jr Blvd # 302
Monroe, GA 30655-5620
Phone (678) 465-9414
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1491696000000",
"number": "1811420581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 MARTIN LUTHER KING JR BLVD # 302",
"city": "MONROE",
"state": "GA",
"postal_code": "306555620",
"telephone_number": "678-465-9414",
"fax_number": "470-200-3267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 MARTIN LUTHER KING JR BLVD # 302",
"city": "MONROE",
"state": "GA",
"postal_code": "306555620",
"telephone_number": "678-465-9414",
"fax_number": "470-200-3267"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLLECTION INTERVENTION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-09",
"last_updated": "2017-04-09",
"status": "A",
"authorized_official_last_name": "TANNER",
"authorized_official_first_name": "MARCIE",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OWNER/OFFICER",
"authorized_official_telephone_number": "678-465-9414",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monroe, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.