Organization Active NPI

Collection Intervention LLC

  • Surgical Assistant
  • Monroe, GA
National Provider Identifier
1811420581
Registry record updated Apr 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical AssistantTaxonomy code 246ZC0007X
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, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2017

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)CodeLicenseStatePrimary
Surgical AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.