Organization Active NPI

Apollo Occupational Health LLC

  • Occupational Medicine Clinic/Center
  • Villa Rica, GA
National Provider Identifier
1891410320
Registry record updated Oct 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine Clinic/CenterTaxonomy code 261QX0100X
Legal business name
APOLLO OCCUPATIONAL HEALTH LLC
Practice address
845 S Carroll Rd Ste a
Villa Rica, GA 30180-7035
Phone
(770) 315-2650
NPI assigned
Oct 6, 2022
Last updated
Oct 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2022

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

Authorized official

Name
Mrs. Camelia Ruffin
Title
Owner
Phone
(770) 262-7011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Clinic/Center 261QX0100X Primary

Addresses

Primary practice location

845 S Carroll Rd Ste a
Villa Rica, GA 30180-7035

Mailing address

12461 Veterans Memorial Hwy Ste 402
Douglasville, GA 30134-2025
Phone (770) 262-7011

National Provider Directory

National Provider Directory

Locations

12461 Veterans Memorial Hwy
Ste 402
Douglasville, GA 30134

845 S Carroll Rd
Ste A
Villa Rica, GA 30180
Phone (770) 315-2650

NPI Registry JSON

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

{
    "created_epoch": "1665014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1891410320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12461 VETERANS MEMORIAL HWY STE 402",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301342025",
            "telephone_number": "770-262-7011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 S CARROLL RD STE A",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301807035",
            "telephone_number": "770-315-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APOLLO OCCUPATIONAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-06",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "RUFFIN",
        "authorized_official_first_name": "CAMELIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-262-7011",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villa Rica, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; 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.