NPIMap

Organization Active NPI

Minwil

  • Private Vehicle
  • Forest Park, GA
National Provider Identifier
1891115747
Registry record updated Apr 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Private VehicleTaxonomy code 347C00000X
Legal business name
MINWIL
Practice address
225 Johnson Rd Apt 38B
Forest Park, GA 30297-2892
Phone
(404) 437-8289
NPI assigned
Apr 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2014

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

Authorized official

Name
Marvel Pamela WilsonNPI 1386062388
Title
Owner/Member
Phone
(404) 437-8289

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
Private Vehicle 347C00000X Primary

Addresses

Primary practice location

225 Johnson Rd Apt 38B
Forest Park, GA 30297-2892

Mailing address

225 Johnson Rd Apt 38B
Forest Park, GA 30297-2892

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": "1397779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397779200000",
    "number": "1891115747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 JOHNSON RD APT 38B",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302972892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 JOHNSON RD APT 38B",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302972892",
            "telephone_number": "404-437-8289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINWIL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-18",
        "last_updated": "2014-04-18",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "MARVEL",
        "authorized_official_middle_name": "PAMELA",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "404-437-8289"
    },
    "taxonomies": [
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 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.