Active NPI
Beverly Manley & Associates
- Case Management Agency
- Tucker, GA
National Provider Identifier
1821539610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- BEVERLY MANLEY & ASSOCIATES
- Practice address
- 2119 Vistadale CT
Tucker, GA 30084-5418 - Phone
- (770) 493-4167
- NPI assigned
- Mar 14, 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. Carolyn Watson, RN, CCM
- Title
- Supervisor Case Managers
- Phone
- (770) 289-6049
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | GA | Primary |
Addresses
Primary practice location
2119 Vistadale CT
Tucker, GA 30084-5418
Mailing address
PO Box 450534
Atlanta, GA 31145-0534
Phone (770) 493-4167
Other names 1
- Manley & Associates
National Provider Directory
National Provider DirectoryLocations
2119 Vistadale Ct
Tucker, GA 30084
Phone (770) 493-4167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1489449600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489449600000",
"number": "1821539610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 450534",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311450534",
"telephone_number": "770-493-4167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2119 VISTADALE CT",
"city": "TUCKER",
"state": "GA",
"postal_code": "300845418",
"telephone_number": "770-493-4167"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BEVERLY MANLEY & ASSOCIATES",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-14",
"last_updated": "2017-03-14",
"status": "A",
"authorized_official_last_name": "WATSON",
"authorized_official_first_name": "CAROLYN",
"authorized_official_title_or_position": "SUPERVISOR CASE MANAGERS",
"authorized_official_telephone_number": "770-289-6049",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN, CCM"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Manley & Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tucker, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.