Organization Active NPI

Palmetto Behavioral Healthcare

  • Social Worker
  • Chamblee, GA
National Provider Identifier
1891100178
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
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

Updated by the provider on Jun 25, 2014

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)CodeLicenseStatePrimary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.