NPIMap

Organization Active NPI

Parkmium LLC

  • Contractor
  • Hoschton, GA
National Provider Identifier
1881405728
Registry record updated Jan 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
PARKMIUM LLC
Doing business as
ParKmium LLC
Practice address
4315 Mulberry Ridge LN
Hoschton, GA 30548-1699
Phone
(470) 257-2672
NPI assigned
Jan 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2025

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

Authorized official

Name
Sammy EnnisonNPI 1972314813
Title
Owner
Phone
(470) 257-2672

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
ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171W00000X Primary

Addresses

Primary practice location

4315 Mulberry Ridge LN
Hoschton, GA 30548-1699

Mailing address

4315 Mulberry Ridge LN
Hoschton, GA 30548-1699
Phone (470) 257-2672

Other names 1

  • ParKmium LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1737331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737331200000",
    "number": "1881405728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4315 MULBERRY RIDGE LN",
            "city": "HOSCHTON",
            "state": "GA",
            "postal_code": "305481699",
            "telephone_number": "470-257-2672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4315 MULBERRY RIDGE LN",
            "city": "HOSCHTON",
            "state": "GA",
            "postal_code": "305481699",
            "telephone_number": "470-257-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKMIUM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-20",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A",
        "authorized_official_last_name": "ENNISON",
        "authorized_official_first_name": "SAMMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-257-2672"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ParKmium LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hoschton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.