Active NPI
Skates-N-Motion
- Exclusive Provider Organization
- Decatur, GA
National Provider Identifier
1871877159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Exclusive Provider Organization
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.