Active NPI
Palmetto Behavioral Healthcare
- Social Worker
- Chamblee, GA
National Provider Identifier
1891100178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Legal business name
- PALMETTO BEHAVIORAL HEALTHCARE
- Practice address
- 4337 Buford Hwy Ste 120
Chamblee, GA 30341-5050 - Phone
- (404) 320-3010
- NPI assigned
- Jun 25, 2014
- 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. Gregory Bailey
- Title
- Owner/Ceo
- Phone
- (404) 320-3010
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | GA | Primary |
Addresses
Primary practice location
4337 Buford Hwy Ste 120
Chamblee, GA 30341-5050
Mailing address
4337 Buford Hwy Suite 120
Chamblee, GA 30341
Phone (404) 320-3010
National Provider Directory
National Provider DirectoryLocations
4337 Buford Hwy
Ste 120
Chamblee, GA 30341
Phone (404) 320-3010
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403654400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1403654400000",
"number": "1891100178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4337 BUFORD HWY SUITE 120",
"city": "CHAMBLEE",
"state": "GA",
"postal_code": "30341",
"telephone_number": "404-320-3010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4337 BUFORD HWY STE 120",
"city": "CHAMBLEE",
"state": "GA",
"postal_code": "303415050",
"telephone_number": "404-320-3010"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PALMETTO BEHAVIORAL HEALTHCARE",
"organizational_subpart": "NO",
"enumeration_date": "2014-06-25",
"last_updated": "2014-06-25",
"status": "A",
"authorized_official_last_name": "BAILEY",
"authorized_official_first_name": "GREGORY",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "404-320-3010",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chamblee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.