NPIMap

Organization Active NPI

Preventive Measures of Ga

  • Community/Behavioral Health Agency
  • Conyers, GA
National Provider Identifier
1821453010
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
170456LGB Issued in GA
Legal business name
PREVENTIVE MEASURES OF GA
Practice address
1808 Over Lake Dr SE
Conyers, GA 30013-6608
Phone
(678) 806-3468
NPI assigned
Dec 15, 2015
Last updated
Oct 3, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Authorized official

Name
Erin Harris
Title
President/Cfo
Phone
(484) 226-0986

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 170456LGB GA Primary

Addresses

Primary practice location

1808 Over Lake Dr SE
Conyers, GA 30013-6608

Mailing address

1808 Over Lake Dr SE
Conyers, GA 30013-6608
Phone (678) 806-3468

National Provider Directory

National Provider Directory

Locations

1106 Ralph David Abernathy Blvd SW
Ste B
Atlanta, GA 30310

1808 Over Lake Dr SE
Conyers, GA 30013
Phone (678) 806-3468

1808 Over Lake Dr SE
Ste B
Conyers, GA 30013

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727913600000",
    "number": "1821453010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 OVER LAKE DR SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300136608",
            "telephone_number": "678-806-3468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1808 OVER LAKE DR SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300136608",
            "telephone_number": "678-806-3468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTIVE MEASURES OF GA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-15",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "PRESIDENT/CFO",
        "authorized_official_telephone_number": "484-226-0986"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "170456LGB",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; 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.