Forsyth Area Sports Teams

Primary specialty

Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X

Legal business name

FORSYTH AREA SPORTS TEAMS

Practice address

2645 Pilgrim Mill Cir
Cumming, GA 30041-9074

Phone

(678) 697-6566

NPI assigned

Oct 15, 2014

Organization subpart

No

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

Authorized official

Name

Alan Kindree

Title

Ceo

Phone

(678) 697-6566

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413331200000",
    "number": "1922402262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 PILGRIM MILL CIR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300419074",
            "telephone_number": "678-697-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 PILGRIM MILL CIR",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300419074",
            "telephone_number": "678-697-6566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORSYTH AREA SPORTS TEAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-15",
        "last_updated": "2014-10-15",
        "status": "A",
        "authorized_official_last_name": "KINDREE",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-697-6566"
    },
    "taxonomies": [
        {
            "code": "2083P0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryann Forbes, NP-C
• Ashley Kathleen Ford, FNP-C
• Briana Ford, DO
• Cheryl L. Fordham, M.S., LPC, NBCCH
• Forefront Dermatology, S.C.
• Forsyth County Board of Education
• Forsyth County Board of Health
• Forsyth County Health Department
• Forsyth County Wellness Center and Rehab
• Forsyth Dental Partners, LLC

• All providers in Cumming, GA
• Preventive Medicine/Occupational Environmental Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2014; 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.