NPIMap

Organization Active NPI

Georgia Mobile Healthcare Services

  • Clinical Medical Laboratory
  • Ellenwood, GA
National Provider Identifier
1851155832
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
GEORGIA MOBILE HEALTHCARE SERVICES
Practice address
153 Hill LN
Ellenwood, GA 30294-2805
Phone
(770) 453-2045
Fax
(770) 264-4811
NPI assigned
Feb 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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

Authorized official

Name
Lakesha ChandlerNPI 1346019858
Title
Owner
Phone
(770) 453-2045

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171W00000X
Phlebotomy TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 246RP1900X
In Home Supportive Care Agency 253Z00000X
Clinical Medical Laboratory 291U00000X Primary
Point of Service 305S00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X

Addresses

Primary practice location

153 Hill LN
Ellenwood, GA 30294-2805

Mailing address

153 Hill LN
Ellenwood, GA 30294-2805
Phone (770) 453-2045

Other names 1

  • GMHS Doing business as

National Provider Directory

National Provider Directory

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": "1707436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707436800000",
    "number": "1851155832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 HILL LN",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302942805",
            "telephone_number": "770-453-2045",
            "fax_number": "770-264-4811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 HILL LN",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302942805",
            "telephone_number": "770-453-2045",
            "fax_number": "770-264-4811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA MOBILE HEALTHCARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A",
        "authorized_official_last_name": "CHANDLER",
        "authorized_official_first_name": "LAKESHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-453-2045"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GMHS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ellenwood, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.