Organization Active NPI

Five Star Education Advocacy Group Inc

  • Developmental Disabilities Clinic/Center
  • Fairburn, GA
National Provider Identifier
1922653534
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X
Legal business name
FIVE STAR EDUCATION ADVOCACY GROUP INC
Practice address
978 Fellowship Rd
Fairburn, GA 30213-1789
Phone
(404) 747-8241
NPI assigned
Aug 9, 2019
Last updated
Aug 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Authorized official

Name
Kristal Menefee
Title
Owner
Phone
(404) 747-8241

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental Disabilities Clinic/Center 261QD1600X Primary

Addresses

Primary practice location

978 Fellowship Rd
Fairburn, GA 30213-1789

Mailing address

978 Fellowship Rd
Fairburn, GA 30213-1789
Phone (404) 747-8241

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565308800000",
    "number": "1922653534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "978 FELLOWSHIP RD",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302131789",
            "telephone_number": "404-747-8241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "978 FELLOWSHIP RD",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302131789",
            "telephone_number": "404-747-8241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE STAR EDUCATION ADVOCACY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-09",
        "last_updated": "2019-08-09",
        "status": "A",
        "authorized_official_last_name": "MENEFEE",
        "authorized_official_first_name": "KRISTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-747-8241"
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairburn, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; 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.