Organization Active NPI

Skates-N-Motion

  • Exclusive Provider Organization
  • Decatur, GA
National Provider Identifier
1871877159
Registry record updated Oct 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
SKATES-N-MOTION
Practice address
5878 Covington Hwy Ste E
Decatur, GA 30035-3745
Phone
(404) 914-1912
NPI assigned
Oct 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2011

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

Authorized official

Name
Mr. Angelo Lorenzo Holt
Title
Executive Director
Phone
(404) 914-1912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

5878 Covington Hwy Ste E
Decatur, GA 30035-3745

Mailing address

296 Roy Huie Rd
Riverdale, GA 30274-1867
Phone (404) 914-1912

National Provider Directory

National Provider Directory

Locations

5878 Covington Hwy
Ste E
Decatur, GA 30035
Phone (404) 914-1912

NPI Registry JSON

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317772800000",
    "number": "1871877159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "296 ROY HUIE RD",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302741867",
            "telephone_number": "404-914-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5878 COVINGTON HWY STE E",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300353745",
            "telephone_number": "404-914-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKATES-N-MOTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "last_updated": "2011-10-05",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_middle_name": "LORENZO",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "404-914-1912",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2011; 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.