Coordination Services of Atlanta Inc.

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

COORDINATION SERVICES OF ATLANTA INC.

Practice address

207 Myrtlewood Dr
Montezuma, GA 31063-7233

Phone

(229) 815-4638

NPI assigned

Oct 25, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Sheila Hambrick, MPH

Title

Case Manager/Service Coordinator

Phone

(229) 815-4636

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1414195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414195200000",
    "number": "1922403500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 531",
            "city": "MONTEZUMA",
            "state": "GA",
            "postal_code": "310630531",
            "telephone_number": "229-815-4638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 MYRTLEWOOD DR",
            "city": "MONTEZUMA",
            "state": "GA",
            "postal_code": "310637233",
            "telephone_number": "229-815-4638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COORDINATION SERVICES OF ATLANTA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-25",
        "last_updated": "2014-10-25",
        "status": "A",
        "authorized_official_last_name": "HAMBRICK",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "CASE MANAGER/SERVICE COORDINATOR",
        "authorized_official_telephone_number": "229-815-4636",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.