Driven From Within

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

DRIVEN FROM WITHIN

Practice address

1377 Ivey Pointe Dr
Lawrenceville, GA 30045-2647

Phone

(678) 755-5580

NPI assigned

Apr 25, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Michah Davenport

Title

Ceo/Founder

Phone

(678) 755-5580

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366848000000",
    "number": "1831533405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1377 IVEY POINTE DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300452647",
            "telephone_number": "678-755-5580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1377 IVEY POINTE DR",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300452647",
            "telephone_number": "678-755-5580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRIVEN FROM WITHIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-25",
        "last_updated": "2013-04-25",
        "status": "A",
        "authorized_official_last_name": "DAVENPORT",
        "authorized_official_first_name": "MICHAH",
        "authorized_official_title_or_position": "CEO/FOUNDER",
        "authorized_official_telephone_number": "678-755-5580",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Health Maintenance Organization in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.