Active NPI
Devoted Healthcare Consultants
- Clinical Medical Laboratory
- Austell, GA
National Provider Identifier
1861076762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- DEVOTED HEALTHCARE CONSULTANTS
- Practice address
- 299 Bonnes Dr
Austell, GA 30168-6722 - Phone
- (800) 488-6805
- Fax
- (404) 328-7950
- NPI assigned
- May 7, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Tricia Thomas, RN
- Title
- Owner
- Phone
- (404) 966-7847
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
299 Bonnes Dr
Austell, GA 30168-6722
Mailing address
299 Bonnes Dr
Austell, GA 30168-6722
Phone (404) 966-7847
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210812003371 | GA | Part B Supplier - Mass Immunization (Roster Biller Only) | 4385048362 | Practice locations: Austell, GA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620345600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632182400000",
"number": "1861076762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "299 BONNES DR",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301686722",
"telephone_number": "404-966-7847",
"fax_number": "404-328-7950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "299 BONNES DR",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301686722",
"telephone_number": "800-488-6805",
"fax_number": "404-328-7950"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEVOTED HEALTHCARE CONSULTANTS",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-07",
"last_updated": "2021-09-21",
"certification_date": "2021-09-21",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "TRICIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-966-7847",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RN"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.