Organization Active NPI

Mortuary Artists, Inc.

  • Religious Nonmedical Practitioner
  • Mableton, GA
National Provider Identifier
1851153373
Registry record updated Feb 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Religious Nonmedical PractitionerTaxonomy code 374K00000X
Legal business name
MORTUARY ARTISTS, INC.
Practice address
5701 Mableton Pkwy SW Ste 108
Mableton, GA 30126-3357
Phone
(470) 964-3066
Fax
(470) 964-3066
NPI assigned
Jan 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2024

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

Authorized official

Name
Ms. Bianca H SmithNPI 1699543959
Title
Ceo/BCC Chaplain
Phone
(470) 964-3066

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
Religious Nonmedical PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 374K00000X Primary

Addresses

Primary practice location

5701 Mableton Pkwy SW Ste 108
Mableton, GA 30126-3357

Mailing address

5701 Mableton Pkwy SW Ste 108
Mableton, GA 30126-3357
Phone (470) 964-3066

National Provider Directory

National Provider Directory

Locations

5701 Mableton Pkwy SW
Ste 108
Mableton, GA 30126
Phone (888) 322-1316

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": "1706486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706918400000",
    "number": "1851153373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 MABLETON PKWY SW STE 108",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301263357",
            "telephone_number": "470-964-3066",
            "fax_number": "470-964-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 MABLETON PKWY SW STE 108",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301263357",
            "telephone_number": "470-964-3066",
            "fax_number": "470-964-3066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORTUARY ARTISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-29",
        "last_updated": "2024-02-03",
        "certification_date": "2024-02-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BIANCA",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO/BCC CHAPLAIN",
        "authorized_official_telephone_number": "470-964-3066",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "374K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Religious Nonmedical Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mableton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2024; 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.