Active NPI
Life Pointe Center
- Case Management Agency
- Conyers, GA
National Provider Identifier
1912144809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- LPC004883
- Legal business name
- LIFE POINTE CENTER
- Practice address
- 2047 Gees Mill Rd NE
Suite 218
Conyers, GA 30013-1359 - Phone
- (205) 821-2151
- NPI assigned
- Jan 14, 2009
- 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
- Wales Williams Jr.
- Title
- Ceo
- Phone
- (205) 821-2151
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | LPC004883 | GA | Primary |
Addresses
Primary practice location
2047 Gees Mill Rd NE
Suite 218
Conyers, GA 30013-1359
Mailing address
2047 Gees Mill Rd NE
Suite 218
Conyers, GA 30013-1359
Phone (205) 821-2151
National Provider Directory
National Provider DirectoryLocations
2047 Gees Mill Rd NE
Ste 218
Conyers, GA 30013
Phone (205) 821-2151
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231891200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1231891200000",
"number": "1912144809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2047 GEES MILL RD NE",
"address_2": "SUITE 218",
"city": "CONYERS",
"state": "GA",
"postal_code": "300131359",
"telephone_number": "205-821-2151"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2047 GEES MILL RD NE",
"address_2": "SUITE 218",
"city": "CONYERS",
"state": "GA",
"postal_code": "300131359",
"telephone_number": "205-821-2151"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE POINTE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2009-01-14",
"last_updated": "2009-01-14",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "WALES",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "205-821-2151",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "GA",
"license": "LPC004883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.