Active NPI
Valencia Johnson, NURSE
- Community Based Hospice Care Agency
- East Point, GA
National Provider Identifier
1841381498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- License
- 0600250H
- Practice address
- 2981 Church St Ste 214
East Point, GA 30344-4100 - Phone
- (404) 763-1456
- Fax
- (404) 763-4115
- NPI assigned
- Sep 27, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | 0600250H | GA | Primary |
Addresses
Primary practice location
2981 Church St Ste 214
East Point, GA 30344-4100
Mailing address
2981 Church St Ste 214
East Point, GA 30344-4100
Phone (404) 763-1456
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0600250H | GA | MD | Community Based Hospice Care Agency |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heart 2 Heart Hospice | Hospice Care, Community Based | Past | Accepting new patients |
| The Moses H. Cone Memorial Hospital Operating Corporation | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community Based Hospice Care Agency
- East Point, GA
- NPI 1144404765
Hospice Care, Community Based
-
- General Acute Care Hospital
- Greensboro, NC
- NPI 1477591055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1841381498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2981 CHURCH ST STE 214",
"city": "EAST POINT",
"state": "GA",
"postal_code": "303444100",
"telephone_number": "404-763-1456",
"fax_number": "404-763-4115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2981 CHURCH ST STE 214",
"city": "EAST POINT",
"state": "GA",
"postal_code": "303444100",
"telephone_number": "404-763-1456",
"fax_number": "404-763-4115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "VALENCIA",
"credential": "NURSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": "GA",
"license": "0600250H",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Point, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.