Active NPI
Professionz
- Durable Medical Equipment & Medical Supplies
- Austell, GA
National Provider Identifier
1891542890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- PROFESSIONZ
- Practice address
- 411 Maxham Rd Ste 1100
Austell, GA 30168-2901 - Phone
- (678) 760-0609
- NPI assigned
- May 6, 2024
- 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
- Shanara Collins, SPECIALIST
- Title
- Owner
- Phone
- (678) 760-0609
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
411 Maxham Rd Ste 1100
Austell, GA 30168-2901
Mailing address
5561 Bolero Way
Powder Springs, GA 30127-3553
Phone (678) 760-0609
National Provider Directory
National Provider DirectoryLocations
411 Maxham Rd
Ste 1100
Austell, GA 30168
Phone (678) 760-0609
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Prosthetics Case Management
- Austell, GA
- NPI 1679320667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714953600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714953600000",
"number": "1891542890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5561 BOLERO WAY",
"city": "POWDER SPRINGS",
"state": "GA",
"postal_code": "301273553",
"telephone_number": "678-760-0609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 MAXHAM RD STE 1100",
"city": "AUSTELL",
"state": "GA",
"postal_code": "301682901",
"telephone_number": "678-760-0609"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROFESSIONZ",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-06",
"last_updated": "2024-05-06",
"certification_date": "2024-05-06",
"status": "A",
"authorized_official_last_name": "COLLINS",
"authorized_official_first_name": "SHANARA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "678-760-0609",
"authorized_official_credential": "SPECIALIST"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.