Organization Active NPI

Agape Upper Cervical Health Center, Inc.

  • Exclusive Provider Organization
  • Alpharetta, GA
National Provider Identifier
1912342197
Registry record updated May 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
008584 Issued in GA
Legal business name
AGAPE UPPER CERVICAL HEALTH CENTER, INC.
Practice address
1122 Cambridge SQ
Suite a
Alpharetta, GA 30009-1858
Phone
(678) 393-8833
NPI assigned
May 1, 2013
Last updated
May 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2013

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

Authorized official

Name
Dr. Charmaine Antonia Herman, D.CNPI 1912200270
Title
Cfo/Doctor
Phone
(678) 393-8833

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
Exclusive Provider Organization 302F00000X 008584 GA Primary

Addresses

Primary practice location

1122 Cambridge SQ
Suite a
Alpharetta, GA 30009-1858

Mailing address

1122 Cambridge SQ
Suite a
Alpharetta, GA 30009-1858
Phone (678) 393-8833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130619000500 GA Part B Supplier - Clinic/Group Practice 3476792672 Receives reassigned benefits from 1 practitioner
Practice locations: Alpharetta, GA

National Provider Directory

National Provider Directory

Locations

1122 Cambridge Sq
Ste A
Alpharetta, GA 30009
Phone (678) 393-8833

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1367366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367366400000",
    "number": "1912342197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 CAMBRIDGE SQ",
            "address_2": "SUITE A",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300091858",
            "telephone_number": "678-393-8833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 CAMBRIDGE SQ",
            "address_2": "SUITE A",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300091858",
            "telephone_number": "678-393-8833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE UPPER CERVICAL HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-01",
        "last_updated": "2013-05-01",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "CHARMAINE",
        "authorized_official_middle_name": "ANTONIA",
        "authorized_official_title_or_position": "CFO/DOCTOR",
        "authorized_official_telephone_number": "678-393-8833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "GA",
            "license": "008584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.