NPIMap

Organization Active NPI

Pabs Unlimited, Inc

Doing business as PABS FamilyCounselng and Intervention Services

  • Exclusive Provider Organization
  • Union City, GA
National Provider Identifier
1881035194
Registry record updated Jul 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
006366 Issued in GA
Legal business name
PABS UNLIMITED, INC
Doing business as
PABS FamilyCounselng and Intervention Services
Practice address
4405 Mall Blvd Ste 200
Union City, GA 30291-2071
Phone
(770) 969-4309
Fax
(770) 969-4170
NPI assigned
Jul 15, 2013
Last updated
Jul 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2013

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

Authorized official

Name
Mr. Dwight Alonzo Porter, L.P.C., ED.S.NPI 1194158220
Title
Therapist
Phone
(770) 969-4309

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 006366 GA Primary

Addresses

Primary practice location

4405 Mall Blvd Ste 200
Union City, GA 30291-2071

Mailing address

4405 Mall Blvd Ste 200
Union City, GA 30291-2071
Phone (770) 969-4309

Other identifiers 1

IdentifierTypeStateIssuer
49440073AMedicaidGA

Other names 1

  • PABS FamilyCounselng and Intervention Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Pabs Family Counseling and Intervention Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

4405 Mall Blvd
Ste 200
Union City, GA 30291
Phone (770) 969-4309

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373846400000",
    "number": "1881035194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4405 MALL BLVD STE 200",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302912071",
            "telephone_number": "770-969-4309",
            "fax_number": "770-969-4170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4405 MALL BLVD STE 200",
            "city": "UNION CITY",
            "state": "GA",
            "postal_code": "302912071",
            "telephone_number": "770-969-4309",
            "fax_number": "770-969-4170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PABS UNLIMITED, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-15",
        "last_updated": "2013-07-15",
        "status": "A",
        "authorized_official_last_name": "PORTER",
        "authorized_official_first_name": "DWIGHT",
        "authorized_official_middle_name": "ALONZO",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "770-969-4309",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.P.C., ED.S."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "GA",
            "license": "006366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49440073A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PABS FamilyCounselng and Intervention Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Union City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; 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.