NPIMap

Organization Active NPI

Epiphany Recovery

  • Community/Behavioral Health Agency
  • Lithonia, GA
National Provider Identifier
1831521236
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EPIPHANY RECOVERY
Practice address
5303 Shirewick Dr
5303 Shirewick Drive
Lithonia, GA 30058-3860
Phone
(678) 418-9211
NPI assigned
Aug 7, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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

Authorized official

Name
Sheila Campbell, LPCNPI 1063539476
Title
Cfo
Phone
(678) 418-9211

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

5303 Shirewick Dr
5303 Shirewick Drive
Lithonia, GA 30058-3860

Mailing address

1989 N Williamsburg Dr
Suite F
Decatur, GA 30033-5998
Phone (678) 591-3925

National Provider Directory

National Provider Directory

Locations

1989 N Williamsburg Dr
Ste F
Decatur, GA 30033
Phone (404) 325-1234

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375833600000",
    "number": "1831521236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1989 N WILLIAMSBURG DR",
            "address_2": "SUITE F",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300335998",
            "telephone_number": "678-591-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5303 SHIREWICK DR",
            "address_2": "5303 SHIREWICK DRIVE",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300583860",
            "telephone_number": "678-418-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIPHANY RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-07",
        "last_updated": "2013-08-07",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "678-418-9211",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithonia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.