Agape Upper Cervical Health Center, Inc.
Organization Active NPI Exclusive Provider Organization · Alpharetta, GA
NPI 1912342197 · NPPES record last updated May 1, 2013
Key facts
- NPI
- 1912342197
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Exclusive Provider Organization 302F00000X
- License
- 008584 (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
- Organization subpart
- No
Authorized official
- Name
- Dr. Charmaine Antonia Herman, D.C
- Title
- Cfo/Doctor
- Phone
- (678) 393-8833
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130619000500 | GA | Part B Supplier - Clinic/Group Practice | 3476792672 |
Receives reassigned benefits from 1 practitioner Practice locations: Alpharetta, GA |
National Provider Directory
Locations
1122 Cambridge Sq
Ste A
Alpharetta, GA 30009
Phone (678) 393-8833
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Exclusive Provider Organization | 302F00000X | 008584 | GA | Yes |
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
Other providers in Alpharetta, GA
- Afayo Home Health Care
- Afc Med Supply LLC
- Affinity Cares Homecare LLC
- Affinity Healthcare LLC
- Affordable Dentures & Implants - Alpharetta, P.C.
- Pooja Agarwal
- Helen Agbaje
- Ebanga Agbor
- Agewell Men'S Institute
- Parina Aggarwal
All providers in Alpharetta, GA · Exclusive Provider Organization in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 1, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.