NPIMap

Organization Active NPI

Fulton County Mhddad

  • Community/Behavioral Health Agency
  • East Point, GA
National Provider Identifier
1861568271
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FULTON COUNTY MHDDAD
Practice address
1636 Connally Dr
East Point, GA 30344-2558
Phone
(404) 762-4042
NPI assigned
Nov 28, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Latangela Kendrick
Title
HR Specialist
Phone
(404) 730-0239

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1636 Connally Dr
East Point, GA 30344-2558

Mailing address

1636 Connally Dr
East Point, GA 30344-2558
Phone (404) 762-4042

Other names 1

  • South Mental Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Fulton County Mhddad16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

Organizations that report the same tax identification number in the National Provider Directory.

View all 15

Locations

1636 Connally Dr
East Point, GA 30344
Phone (404) 730-1212

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861568271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 CONNALLY DR",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303442558",
            "telephone_number": "404-762-4042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 CONNALLY DR",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303442558",
            "telephone_number": "404-762-4042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON COUNTY MHDDAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KENDRICK",
        "authorized_official_first_name": "LATANGELA",
        "authorized_official_title_or_position": "HR SPECIALIST",
        "authorized_official_telephone_number": "404-730-0239"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Mental Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.