Active NPI
Knowledge Development Ase' Group LLC
- Student in an Organized Health Care Education/Training Program
- Atlanta, GA
National Provider Identifier
1821448432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 13176350
- Legal business name
- KNOWLEDGE DEVELOPMENT ASE' GROUP LLC
- Practice address
- 584 Amal Dr SW
Atlanta, GA 30315-4827 - Phone
- (410) 215-8055
- NPI assigned
- Jun 14, 2016
- 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
- Kenya Ross-Beatty, M.B.A., N.C.R.M.A.
- Title
- Professor
- Phone
- (410) 215-8055
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 13176350 | GA | Primary |
Addresses
Primary practice location
584 Amal Dr SW
Atlanta, GA 30315-4827
Mailing address
584 Amal Dr SW
Atlanta, GA 30315-4827
Phone (410) 215-8055
Other names 1
- KDAG, LLC
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465862400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1465862400000",
"number": "1821448432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "584 AMAL DR SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303154827",
"telephone_number": "410-215-8055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "584 AMAL DR SW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303154827",
"telephone_number": "410-215-8055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KNOWLEDGE DEVELOPMENT ASE' GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-06-14",
"last_updated": "2016-06-14",
"status": "A",
"authorized_official_last_name": "ROSS-BEATTY",
"authorized_official_first_name": "KENYA",
"authorized_official_title_or_position": "PROFESSOR",
"authorized_official_telephone_number": "410-215-8055",
"authorized_official_credential": "M.B.A., N.C.R.M.A."
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "GA",
"license": "13176350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "KDAG, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.