Our Spot

Primary specialty

Emotionally Disturbed Childrens' Residential Treatment FacilityTaxonomy code 322D00000X

License

13BL0437 Issued in GA

Legal business name

OUR SPOT

Doing business as

The Spot

Practice address

1015 E Inman St
Statesboro, GA 30458-2049

Phone

(912) 541-2809

NPI assigned

May 13, 2013

Last updated

Jan 21, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Roosevelt Cone

Title

Owner/Director

Phone

(912) 541-2809

Specialties & licenses 1

Addresses

Other names 1

• The Spot Doing business as

Locations

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1912343302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 E INMAN ST",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304582049",
            "telephone_number": "912-541-2809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 E INMAN ST",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304582049",
            "telephone_number": "912-541-2809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR SPOT",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-13",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "CONE",
        "authorized_official_first_name": "ROOSEVELT",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "912-541-2809",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "322D00000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Emotionally Disturbed Children",
            "state": "GA",
            "license": "13BL0437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Spot",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Emotionally Disturbed Childrens' Residential Treatment Facility in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Emotionally Disturbed Childrens' Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.