NPIMap

Organization Active NPI

Health Education, Assessment and Leadership, Inc

Doing business as The HEALing Community Center

  • Federally Qualified Health Center (FQHC)
  • Atlanta, GA
National Provider Identifier
1831476399
Registry record updated Dec 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HEALTH EDUCATION, ASSESSMENT AND LEADERSHIP, INC
Doing business as
The HEALing Community Center
Practice address
3915 Cascade Rd SW
Atlanta, GA 30331-8512
Phone
(404) 564-7749
Fax
(404) 758-1216
NPI assigned
Nov 11, 2011
Last updated
Dec 15, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2021

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

Authorized official

Name
Donald Usher
Title
Ceo
Phone
(404) 564-7749

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 11D2031396 GA
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

3915 Cascade Rd SW
Atlanta, GA 30331-8512

Mailing address

3915 Cascade Rd SW
Atlanta, GA 30331-8512
Phone (404) 564-7749

Other names 1

  • The HEALing Community Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20120315000479 GA Part B Supplier - Clinic/Group Practice 0547429292 Receives reassigned benefits from 12 practitioners
Practice locations: Atlanta, GA; Douglasville, GA
O20170818001219 GA Part A Provider - Federally Qualified Health Center (FQHC) 0547429292 Practice locations: Atlanta, GA
O20190709000841 GA Part A Provider - Federally Qualified Health Center (FQHC) 0547429292 Practice locations: Atlanta, GA

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1831476399. Details of each certification follow.

Federally qualified health center certification: CCN 111066

Legal name
HEALTH EDUCATION, ASSESSMENT AND LEADERSHIP, INC
Doing business as
HEALING COMMUNITY CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 18, 2017
Last certification
Aug 18, 2017
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Jul 24, 2009 in GA
Enrollment address
4215 Bakers Ferry Rd SW
Atlanta, GA 30331-4401

Federally qualified health center certification: CCN 111113

Legal name
HEALTH EDUCATION, ASSESSMENT AND LEADERSHIP, INC
Doing business as
HEALING COMMUNITY CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 9, 2019
Last certification
Jul 9, 2019
Ownership / control type
For profit – partnership
Organization structure
CorporationNon-profit
Incorporated
Jul 24, 2009 in GA
Enrollment address
225 Griffin St NW
Atlanta, GA 30314-3917

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2277086Health Education & Leadership3915 Cascade Road, Suite T115, Atlanta, GA 30331Certificate of waiverFeb 21, 2027

National Provider Directory

National Provider Directory

Locations

225 Griffin St NW
Atlanta, GA 30314
Phone (404) 481-3794

2600 Mlk Jr Dr SW
Ste 100
Atlanta, GA 30311
Phone (813) 413-7624

4215 Bakers Ferry Rd SW
Atlanta, GA 30331
Phone (404) 564-7729

3666 Highway 5
Douglasville, GA 30135

Ownership & related parties

All disclosed owners & managing parties 7

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Health Education, Assessment and Leadership, Inc Organization, Atlanta, GA Operational/Managerial Control May 15, 2014 5%
5% Or Greater Direct Ownership Interest Oct 1, 2017 5%
Operational/Managerial Control Oct 1, 2017 5%
Donald Eugene Usher Individual Corporate Officer Sep 1, 2021
Operational/Managerial Control Sep 1, 2021
Irwin Rudner Individual Corporate DirectorFinance Chair Apr 6, 2011
Veda C Johnson Individual Corporate Director Jul 12, 2011
Randolph P Martin Individual Corporate Director Jan 15, 2011
Charles E Moore Individual Corporate DirectorStrategic Committee Chair Feb 17, 2012
Rueben Warren Individual Corporate DirectorBoard Chair Jul 14, 2013

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1320969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639526400000",
    "number": "1831476399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3915 CASCADE RD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318512",
            "telephone_number": "404-564-7749",
            "fax_number": "404-699-6798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3915 CASCADE RD SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303318512",
            "telephone_number": "404-564-7749",
            "fax_number": "404-758-1216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTH EDUCATION, ASSESSMENT AND LEADERSHIP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-11",
        "last_updated": "2021-12-15",
        "certification_date": "2021-12-15",
        "status": "A",
        "authorized_official_last_name": "USHER",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-564-7749"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "GA",
            "license": "11D2031396",
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The HEALing Community Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The HEALing Community Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.